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BCBS Massachusetts Medical Policy Updates – October 2024
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Click here to view the Blue Cross Blue Shield BCBS Massachusetts Medical Policy Updates »
October 2024 BCBS Massachusetts Medical Policy Updates:
- Adoptive Immunotherapy
- Allogeneic Pancreas Transplant
- Amniotic Membrane and Amniotic Fluid
- Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening
- Anti-Migraine Policy
- Assisted Reproductive Services
- Benign Skin Lesions
- Bioengineered Skin and Soft Tissue Substitutes
- Carelon (formerly AIM) Abdomen and Pelvic Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Advanced Imaging of the Heart CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Brain Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Chest Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Extremity Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Genetic Testing Management Program CPT and HCPCS Codes
- Carelon (formerly AIM) Head and Neck Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Oncologic Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Spine Imaging CPT, HCPCS and Diagnoses Codes
- Carelon (formerly AIM) Vascular Imaging CPT, HCPCS and Diagnoses Codes
- CNS Stimulants and Psychotherapeutic Agents
- Composite Tissue Allotransplantation of the Hand and Face
- Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid and Artificial Pancreas Device Systems
- Cranial Electrotherapy Stimulation and Auricular Electrostimulation
- Diabetes Step Therapy
- Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures
- Electromyography and Nerve Conduction Studies
- Endovascular Stent Grafts for Disorders of the Thoracic Aorta
- Entyvio (vedolizumab) Policy
- Evaluation of Biomarkers for Alzheimer Disease
- Extracorporeal Photopheresis
- Flow Cytometry for Cell Analysis
- Glucagon-like Peptide-1 (GLP-1) Receptor Agonists and Related Drugs for the Treatment of Type 2 Diabetes
- Heart Lung Transplant
- Heart Transplant
- Hyperthermic Intraperitoneal Chemotherapy for Select IntraAbdominal and Pelvic Malignancies
- Immunomodulators for Skin Conditions
- Implantable Cardioverter Defibrillator
- Injectable Asthma Medications
- Intravenous Anesthetics for the Treatment of Chronic Pain
- Isolated Small Bowel Transplant
- Kidney Transplant
- Leadless Cardiac Pacemakers
- Liver Transplant and Combined Liver-Kidney Transplant
- Low-Level Laser Therapy
- Lung and Lobar Lung Transplant
- Maternal Serum Biomarkers for Prediction of Adverse Obstetric Outcomes
- Measurement of Serum Antibodies to Selected Biologic Agents
- Medical Technology Assessment Investigational (Non-Covered) Services List
- Medical Utilization Management (MED UM) & Pharmacy Prior Authorization Policy
- Molecular Testing in the Management of Pulmonary Nodules
- Monitored Anesthesia Care (MAC) in the Outpatient Setting
- Monoclonal Antibodies for Treatment of Alzheimer’s Disease
- Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis
- Non-Invasive Vascular Studies – Duplex Scans
- Orthotics for Progressive Scoliosis
- Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions
- Outpatient Pulmonary Rehabilitation
- Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome
- Overactive Bladder Medications
- Pathogen Panel Testing
- Pelvic Floor Stimulation as a Treatment of Urinary Incontinence and Fecal Incontinence
- Percutaneous and Subcutaneous Tibial Nerve Stimulation
- Phototherapy: PUVA, UV-B and Targeted Phototherapy
- Plasma Exchange
- Plastic Surgery
- Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis
- Powered Exoskeleton for Ambulation in Patients with Lower Limb Disabilities
- Preimplantation Genetic Testing
- Routine Foot Care and Debridement of Nails
- Small Bowel/Liver and Multivisceral Transplant
- Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation
- Total Artificial Hearts and Implantable Ventricular Assist Devices
- Treatment of Hyperhidrosis
- Tumor Markers for Diagnosis and Management of Cancer
- Uterus Transplantation for Absolute Uterine Factor Infertility
- Vagus Nerve Stimulation
- Vitamin B12 Testing
- Vitamin D Assay Testing
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