BCBS Michigan Medical Policy Updates – January 2023

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

January 2023 BCBS Michigan Medical Policy Updates:

• Artificial Intervertebral Disc: Cervical Spine
• BMT – Hematopoietic Cell Transplantation for Acute Myeloid Leukemia
• Chemosensitivity and Chemoresistance Assay, In Vitro
• Continuous Subcutaneous Insulin Infusion (CSII) (Insulin Pumps) and Transdermal Insulin Delivery Systems
• Cryoablation of Peripheral Nerves (e.g., iovera° System)
• Dialectical Behavior Therapy
• Durable Medical Equipment
• Extracorporeal Shock Wave Therapy for Treatment of Plantar Fasciitis and Other Musculoskeletal Disorders
• Eye Movement Desensitization and Reprocessing for Post- Traumatic Stress Disorder (PTSD)
• Fecal Calprotectin
• Gender Affirming Services
• Gene Expression Profiling for Cutaneous Melanoma
• Genetic Testing for Bloom Syndrome
• Genetic Testing for Hereditary Hearing Loss
• Genetic Testing for Li-Fraumeni Syndrome
• Genetic Testing for Specified Conditions Using Testing Panels
• Genetic Testing- Molecular Markers in Fine Needle Aspirates (FNA) of the Thyroid
• Genetic Testing-Gene Expression Profiling for Uveal Melanoma
• Home Cardiorespiratory Monitoring – Pediatric
• Home Spirometry
• Implantable Cardioverter Defibrillator (ICD), Including Subcutaneous ICDs
• In-Office Needle Arthroscopy
• Intensity Modulated Radiation Therapy (IMRT) of the Breast and Lung
• Intensity Modulated Radiation Therapy (IMRT): Central Nervous System Tumors
• Intensity-Modulated Radiation Therapy (IMRT) of the Prostate
• Intensity-Modulated Radiation Therapy (IMRT): Cancer of the Head and Neck or Thyroid
• Intradialytic Parenteral Nutrition (IDPN)
• Intraocular Lens Implant for Myopia (Nearsightedness)
• Intravitreal and Punctum Corticosteroid Implants
• Islet Transplantation
• Low-Level Laser Therapy
• Lung/Double Lung and Liver Transplant Combined
• Magnetic Resonance Neurography (MRN)
• Neurofeedback
• Ophthalmologic Techniques that Evaluate the Posterior Segment for Glaucoma
• Percutaneous Electrical Nerve Stimulation (PENS) and Percutaneous Neuromodulation Therapy (PNT)
• Polymerase Chain Reaction (PCR) Testing in the Diagnosis of Onychomycosis
• Quantitative Sensory Testing
• Radiofrequency Ablation of Basivertebral Nerve for Low Back Pain (i.e., Intracept)
• Radiofrequency Ablation of Primary or Metastatic Liver Tumors
• Refractive Keratoplasties, Phototherapeutic Keratectomy and Implantation of Intrastromal Corneal Ring Segments
• Remote Patient Monitoring
• Retinal Care for Diabetic Retinopathy
• Retinal Prosthesis
• Serum Markers for the Diagnosis of Inflammatory Bowel Disease
• SPECT/CT Fusion Imaging
• Spectral Analysis of Prostate Tissue
• Subtalar Arthroereisis
• Temporomandibular Joint Disorder
• Transcatheter Arterial Chemoembolization of Hepatic Tumors (TACE)
• Vertebral Body Tethering and/or Stapling for Scoliosis
• Vestibular Function Testing

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

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.