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BCBS Michigan Medical Policy Updates – January 2025
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Click here to view the Blue Cross Blue Shield BCBS Michigan Medical Policy Updates »
January 2025 BCBS Michigan Medical Policy Updates:
- Amniotic Membrane And Amniotic Fluid
- Aqueous Shunts And Stents For Glaucoma
- Artificial Intervertebral Disc: Cervical Spine
- Artificial Pancreas Device Systems
- Bmt – Hematopoietic Cell Transplantation For Acute Myeloid Leukemia And Blastic Plasmacytoid Dendritic Cell Neoplasm (Bpdcn)
- Bmt – Hematopoietic Cell Transplantation For Plasma Cell Dyscrasias, Including Multiple Myeloma And Poems Syndrome
- Chemosensitivity And Chemoresistance Assay, In Vitro
- Circulating Tumor Dna And Circulating Tumor Cells For Selecting Targeted Therapy For Advanced Solid Cancers (Liquid Biopsy)
- Continuous Subcutaneous Insulin Infusion (Csii) (Insulin Pumps) And Transdermal Insulin Delivery Systems
- Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow Reserve (Ffrct)
- Cpt Category Iii Codes-Non-Covered Services
- Cryoablation Or Cryoneurolysis (E.G., Iovea System) Of Peripheral Nerves (Ky)
- Dental General Anesthesia
- Diagnosis Of Sleep Disorders
- Dialectical Behavior Therapy
- Durable Medical Equipment
- Endothelial Keratoplasty
- Evaluation Of Biomarkers For Alzheimer’S Disease
- Eye Movement Desensitization And Reprocessing For Post Traumatic Stress Disorder (Ptsd)
- Fecal Calprotectin
- Gender Affirming Services
- Genetic Testing – Carrier Screening For Genetic Diseases
- Genetic Testing – Gene Expression Profiling For Uveal Melanoma
- GENETIC TESTING – NGS OF MULTIPLE GENES (PANEL) FOR MALIGNANT CONDITIONS.
- Genetic Testing For Bloom Syndrome
- Genetic Testing For Fetal Rhd Genotyping Using Maternal Plasma
- 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 Noninvasive Prenatal Screening For Fetal Aneuploidies, Microdeletions, Single-Gene Disorders, And Twin Zygosity Using Cell-Free Fetal Dna
- Genetic Testing-Braf Mutation In Selecting Melanoma Patients For Targeted Therapy
- Hemoglobin A1C Testing Device For Home Use Or For Use As A Point Of Care Device
- Home Cardiorespiratory Monitoring For Pediatrics
- Home Spirometry
- Hyperbaric Oxygen Therapy, Systemic And Topical
- Implantable Cardioverter Defibrillator (Icd), Including Subcutaneous Icd)
- In-Office Needle Arthroscopy (E.G., Mi-Eye 2, Mi-Eye 3 Needlescope With Cannula, And Visionscope¿)
- 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): Abdomen, Pelvis, And Chest
- Intensity-Modulated Radiation Therapy (Imrt): Cancer Of The Head And Neck Or Thyroid
- Intradialytic Parenteral Nutrition (Idpn)
- Intraocular Lens Implant For Myopia (Nearsightedness)
- Laboratory Tests – Genetic, Molecular And Other Tests – Experimental/Investigational
- Liver-Kidney (Combined) Transplant
- Lung/Double Lung And Liver Transplant Combined
- Magnetic Resonance Guided Focused Ultrasound (Mrgfus)
- Magnetic Resonance Imaging, Low-Field
- Magnetic Resonance Neurography (Mrn)
- Medical Formula For Inborn Errors Of Metabolism
- Medical Policy Determination – 90689 Fluad Quadrivalent Pediatric®
- Navigated Transcranial Magnetic Stimulation (Ntms)
- Ophthalmologic Techniques That Evaluate The Posterior Segment For Glaucoma
- Optical Coherence Tomography Imaging, Anterior Eye
- Percutaneous Electrical Nerve Stimulation (Pens) And Percutaneous Neuromodulation Therapy (Pnt)
- Percutaneous Left Atrial Appendage Closure Devices For Stroke Prevention In Atrial Fibrillation
- Percutaneous Ultrasonic Ablation As Treatment Of Chronic Pain Due To Tendonitis And Fasciitis (Tenex Health Tx®)
- Perirectal Spacer For Radiation Therapy Treatment Of Prostate Cancer (Spaceoar)
- Polymerase Chain Reaction (Pcr) Testing In The Diagnosis Of Onychomycosis
- Postsurgical Home Use Of Limb Compression Devices For Venous Thromboembolism Prophylaxis
- Pregnancy Terminations – Medical And Surgical
- Proprietary Laboratory Analyses (Pla) Codes
- Prostate Cancer Early Detection: Biomarkers Prior To Biopsy
- Radiofrequency Ablation Of Basivertebral Nerve For Low Back Pain (I.E. Intracept)
- Radiofrequency Ablation Of Peripheral Nerves To Treat Pain Including Coolief Cooled Rf
- Radiofrequency Ablation Of Primary Or Metastatic Liver Tumors
- Refractive Keratoplasties, Phototherapeutic Keratectomy And Implantation Of Intrastromal Corneal Ring Segments
- Retinal Care For Diabetic Retinopathy
- Retinal Prosthesis
- Salivary Testing For Hormone Levels
- Scintimammography And Gamma Imaging Of The Breast And Axilla
- Serum Markers For The Diagnosis Of Inflammatory Bowel Disease
- Skin And Tissue Substitutes
- Small Bowel/Liver And Multivisceral Transplant
- Somatic Biomarker Testing (Including Liquid Biopsy) For Targeted Treatment And Immunotherapy In Metastatic Colorectal Cancer (Kras, Nras, Braf, Mmr/Msi, Her2, And Tmb)
- Spect/Ct Fusion Imaging
- Subtalar Arthroereisis
- Surgical Treatment For Male Gynecomastia
- Temporarily Implanted Prostatic Stents For Benign Prostatic Hyperplasia (E.G., Nitinol Device [Itind], Spannertm)
- Temporomandibular Joint Disorder
- Transcatheter Arterial Chemoembolization Of Hepatic Tumors (Tace)
- Treatment Of Hyperhidrosis, Excluding Botulinum
- Vertebral Body Tethering And/Or Stapling For Scoliosis
- Vestibular Function Testing
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