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BCBS Massachusetts Medical Policy Updates – May 2018

May 2018 Medical Policy Updates:

NEW MEDICAL POLICIES:

  • None

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

 

Click here to view the Blue Cross Blue Shield Massachusetts Medical Policy Updates »

 

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