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BCBS Massachusetts Medical Policy Updates – October 2018
October 2018 Medical Policy Updates:
- Allergy Services
- Ambulance
- Audiology
- Behavioral Health and Substance Use
- Home Health Care
- Interim Billing – Facility
- Professional Non-Reimbursable Services
- Telehealth (Telemedicine) – Behavioral Health
- Vision Services
- Ambulatory Event Monitors and Mobile Outpatient Cardiac Telemetry
- Biventricular Pacemakers – Cardiac Resynchronization Therapy for the Treatment of Heart Failure
- Botulinum Toxin Injection
- Closure Devices for Patent Foramen Ovale and Atrial Septal Defects
- Computed Tomography (CT) Abdomen
- Computed Tomography (CT) Abdomen and Pelvis Combination
- Computed Tomography (CT) Cervical Spine
- Computed Tomography (CT) Chest
- Computed Tomography (CT) Head
- Computed Tomography (CT) Lower Extremity
- Computed Tomography (CT) Lumbar Spine
- Computed Tomography (CT) Neck for Soft Tissue Evaluation
- Computed Tomography (CT) Orbit, Sella Turcica, Posterior Fossa, Temporal Bone, including Mastoids
- Computed Tomography (CT) Paranasal Sinus & Maxillofacial Area
- Computed Tomography (CT) Thoracic Spine
- Computed Tomography (CT) Upper Extremity
- Computed Tomography Perfusion Imaging of the Brain
- CT Angiography (CTA) and MR Angiography (MRA) Abdomen
- CT MR Angiography (CTA MRA) Head Cerebrovascular
- CT MR Angiography (CTA MRA) Neck
- Dermatologic Applications of Photodynamic Therapy
- Directory of Documents, 411
- Drugs for Cystic Fibrosis
- Duchenne Muscular Dystrophy (DMD) Medications
- Electromyography and Nerve Conduction Studies
- Endovascular Stent Grafts for Disorders of the Thoracic Aorta
- Extracorporeal Membrane Oxygenation
- Flow Cytometry for Cell Analysis
- Genetic Testing for Mental Health Conditions
- Genetic Testing for Muscular Dystrophies
- Intensity-Modulated Radiation Therapy – IMRT – Cancer of the Head and Neck or Thyroid
- Interferons Alpha and Gamma
- Interleukin-2 (IL-2)
- KIT (c-KIT) Mutation Analysis
- Low-Level Laser Therapy
- Magnetic Resonance Imaging (MRI) Cardiac
- Medical Technology Assessment NonCovered Services
- Occlusion of Uterine Arteries Using Transcatheter Embolization
- Oncology Drugs
- Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
- Gene Expression Profiling for Cutaneous Melanoma
- Surgical and Transesophageal Endoscopic Procedures to Treat Gastroesophageal Reflux Disease
- Prior Authorization Request Form for Surgical and Transesophageal Endoscopic Procedures to Treat Gastroesophageal Reflux Disease
- Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases
- Topical Testosterone
- Transcatheter Pulmonary Valve Implantation
- Transgender Services
Added 10/21/2018:
- Acute and Maintenance Tocolysis
- Allogeneic Pancreas Transplant
- Chromosomal Microarray Testing for the Evaluation of Pregnancy Loss
- Composite Tissue Allotransplantation of the Hand and Face
- Computed Tomography (CT) Pelvis
- Cooling Devices Used in the Outpatient Setting
- Endometrial Ablation
- Expanded Molecular Panel Testing of Cancers to Identify Targeted Therapies
- Heart Lung Transplant
- Heart Transplant
- Hematopoietic Cell Transplantation for Acute Myeloid Leukemia
- Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
- Invasive Prenatal Fetal Diagnostic Testing
- Islet Transplantation
- Isolated Small Bowel Transplant
- Kidney Transplant
- Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids
- Liver Transplant and Combined Liver-Kidney Transplant
- Lung and Lobar Lung Transplant
- Magnetic Resonance Imaging (MRI) Abdomen – Cholangiopancreatography (MRCP) Abdomen
- Magnetic Resonance Imaging (MRI) Cervical Spine
- Magnetic Resonance Imaging (MRI) Chest
- Magnetic Resonance Imaging (MRI) Head Brain
- Magnetic Resonance Imaging (MRI) Lumbar Spine
- Magnetic Resonance Imaging (MRI) of the Lower Extremity Joint and Non-Joint
- Magnetic Resonance Imaging (MRI) Orbit, Face & Neck (Soft Tissues)
- Magnetic Resonance Imaging (MRI) Pelvis
- Magnetic Resonance Imaging (MRI) Thoracic Spine
- Magnetic Resonance Imaging (MRI) Upper Extremity (Any Joint)
- Magnetic Resonance Imaging (MRI) Upper Extremity (Non-Joint)
- Magnetic Resonance Imaging Targeted Biopsy of the Prostate
- Medical Policies
- Medical Policy Updates
- Multigene Expression Assay for Predicting Recurrence in Colon Cancer
- Pelvic Floor Stimulation as a Treatment of Urinary Incontinence and Fecal Incontinence
- Preimplantation Genetic Testing
- Small Bowel, Liver, and Multivisceral Transplant
- Total Artificial Hearts and Implantable Ventricular Assist Devices
Click here to view the Blue Cross Blue Shield Massachusetts Medical Policy Updates »
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