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May 2018 Medical Policy Updates:
NEW MEDICAL POLICIES:
REVISED MEDICAL POLICIES:
- Artificial Intervertebral Disc: Cervical Spine
- Cardiac Rehabilitation in the Outpatient Setting
- Medical Technology Assessment Investigational (Non-Covered) Services List
- Myoelectric Prosthetic and Orthotic Components for the Upper Limb
- Transcranial Magnetic Stimulation as a Treatment of Depression and Other Psychiatric/Neurologic Disorders
CLARIFICATIONS TO MEDICAL POLICIES:
- Artificial Pancreas Device Systems
- Assisted Reproductive Services (Infertility Services)
- Carotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty
- Continuous Passive Motion in the Home Setting
- Outpatient Psychotherapy
- Outpatient Pulmonary Rehabilitation
- Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis
RETIRED MEDICAL POLICIES:
- Thorascopic Laser Ablation of Emphysematous Pulmonary Bullae
- Tumor-Treatment Fields Therapy for Glioblastoma
REVISED PHARMACY MEDICAL POLICIES:
- Growth Hormone and Insulin-like Growth Factor
- Interferons Alpha and Oncology Drugs
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