Click here to view the United Healthcare (UHC) Medical Policy Updates » March 2025 United…

BCBS Michigan Medical Policy Updates – April 2024
Click here to view the Blue Cross Blue Shield BCBS Michigan Medical Policy Updates »
April 2024 BCBS Michigan Medical Policy Updates:
- Aim Aliqopa (Copanlisib)
- Aim Cyramza (Ramucirumab)
- Aim Danyelza (Naxitamab-Gqgk)
- Alpha-1 Proteinase Inhibitors
- Aquablation (Transurethral Waterjet Ablation) Of The Prostate
- Bcbsm Only: Orthopedic Footwear
- Bcbsm Only: Therapeutic Shoes For Diabetic Patients
- Calcitonin Gene Related Peptide (Cgrp) Antagonists
- Casgevy (Exagamglogene Autotemcel)
- Cinqair (Reslizumab)
- Cochlear Implant
- Contrast-Enhanced Computed Tomography Angiography Of The Heart And/Or Coronary Arteries (Cta, Ccta, Mdct, Msct)
- Cpt Category Iii Codes-Non-Covered Services
- Denosumab (Prolia Xgeva)
- Digital Health Therapies For Attention Deficit/Hyperactivity Disorder
- Duchenne Muscular Dystrophy Class Policy
- Enjaymo (Sutimlimab Intravenous Injection)
- Enzyme Replacement Therapy For Gaucher’S Disease Cerezyme, Elelyso, Vpriv (J1786) (J3060) (J3385)
- Enzyme Replacement Therapy For Pompe Disease
- Evenity (Romosozumab)
- Gazyva
- Genetic Testing – Carrier Screening For Genetic Diseases
- Genetic Testing – Proteomic Testing For Non Small-Cell Lung Cancer (Nsclc), E.G., Veristrat
- Genetic Testing – Whole Exome And Whole Genome Sequencing For Diagnosis Of Genetic Disorders
- Genetic Testing And Counseling
- Germline Genetic Testing For Gene Variants Associated With Breast Cancer In Individuals At High Breast Cancer Risk
- Gt-Maturity-Onset Diabetes Of The Young (Mody)
- Heart/Lung Transplant
- Heart-Kidney Transplant Combined
- Hemophilia Class Policy (J7170)
- Kidney Transplantation
- Laboratory Tests – Genetic, Molecular And Other Tests – Experimental/Investigational
- Lamzede (Velmanase Alfa-Tycv)
- Laser Interstitial Thermal Therapy For Neurological Conditions
- Luxturna
- Magnetic Resonance Imaging – Targeted Biopsy Of The Prostate
- Measurement Of Lipoprotein-Associated Phospholipase A2 (Lp-Pla2) In The Assessment Of Cardiovascular Risk
- Medical Policy- Immune Globulin Replacement Therapy Medication Use Guidelines
- Meniscal Allografts And Other Meniscal Implants
- Minimally Invasive Lumbar Interbody Fusion
- Miscellaneous Genetic And Molecular Diagnostic Tests
- Monitored Anesthesia Care For Endoscopic, Surgical, And Other Diagnostic And Therapeutic Procedures
- Monochromatic Infrared Energy (Mire) Device For The Treatment Of Cutaneous Ulcers, Diabetic Neuropathy And Miscellaneous Musculoskeletal Conditions
- Myeloperoxidase (Mpo) Immunoassay For Cardiac Disease Risk
- Myolysis Of Uterine Fibroids Using Laparoscopic, Percutaneous Or Transcervical Techniques
- Near Infrared Spectroscopic Examination Of Wounds
- Nerve Fiber Density Measurement
- Noninvasive Techniques For The Evaluation And Monitoring Of Patients With Chronic Liver Disease
- Nplate (Romiplostim)
- Nulibry
- Optical Coherence Tomography Imaging, Anterior Eye
- Oral Surgery
- Orthotic Devices
- Palforzia (Peanut (Arachis Huypogaea) Allergen Powder-Dnfp)
- Pediatric Feeding Programs
- Percutaneous Tibial Nerve Stimulation
- Percutaneous Transluminal Angioplasty (Pta) For The Treatment Of Cerebral Vasopasm
- Peroral Endoscopic Myotomy For Treatment Of Esophageal Achalasia Gastroparesis
- Photodynamic Therapy For Dermatologic Applications
- Placental And Umbilical Cord Blood As A Source Of Stem Cells
- Positional Magnetic Resonance Imaging (Mri)
- Prenatal (Fetal) Surgery For Diagnosed Malformations
- Proact™ Adjustable Continence Therapy
- Proprietary Laboratory Analyses (Pla) Codes
- Radiofrequency Ablation Of Miscellaneous Solid Tumors, Excluding Liver Tumors
- Radiofrequency Ablation Of The Renal Sympathetic Nerves As A Treatment For Resistant Hypertension
- Responsive Neurostimulation For The Treatment Of Refractory Focal Epilepsy
- Sacral Nerve Neuromodulation/Stimulation
- Serum Biomarker Human Epididymis Protein 4 (He4)
- Spinraza (Nusinersen)
- Suprachoroidal Delivery Of Pharmacologic Agent
- Tocilizumab Products
- Total Artificial Hearts And Implantable Ventricular Assist Devices
- Transcatheter Mitral Valve Repair
- Transcranial Magnetic Stimulation As A Treatment Of Depression And Other Psychiatric/Neurologic Disorders
- Transcutaneous Electrical Nerve Stimulation For The Management Of Attention Deficit Hyperactivity Disorder
- Tumor Treating Fields Therapy
- Ultrasound For Breast Cancer Screening
- Uplizna (Inebilizumab)
- Vertebral Body Tethering And/Or Stapling For Scoliosis
- Virtual Colonoscopy/Ct Colonography
- Wearable Cardioverter Defribrillators
- Xolair (Omalizumab)
- Zinplava
Click here to view the Blue Cross Blue Shield BCBS Michigan Medical Policy Updates »
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