BCBS Michigan Medical Policy Updates – July 2018

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

July 2018 Medical Policy Updates:

• Bavencio ®(avelumab)
• Bendeka™(bendamustine hydrochloride injection)
• EntyvioTM(vedolizumab)
• Krystexxa®(pegloticase)
• Kymriah™ (tisagenlecleucel), Yescarta™ (axicabtagene ciloleucel)
• Kymriah™ (tisagenlecleucel), Yescarta™ (axicabtagene ciloleucel)
• Minimally Invasive Lumbar Interbody Fusion (-LIF)
• Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
• Paraspinal Surface Electromyography (SEMG) to Evaluate
• PCR Panel Testing for Gram-Negative Bacillus Antimicrobial Resistance Genes
• Phrenic Nerve Stimulation and Diaphragm Pacing
• Physiologic Recording of Tremor Using Accelerometer(s) and Gyroscope(s)
• Positive Pressure Airway Devices
• Prolotherapy
• Pulmonary Rehabilitation
• Quantitative Pupillometry/Pupillography
• Quantity Limit Program
• Reduction Mammaplasty for Breast-Related Symptoms
• Sacral Nerve Neuromodulation/Stimulation
• Sensory Integration and Auditory Integration Therapy
• Skin Advanced Glycation End Products (AGE) Measurement By Multi-Wavelength Fluorescent Spectroscopy
• Small Bowel/Liver and Multivisceral Transplant
• SPECT/CT Fusion Imaging
• Spinal Surgery: Percutaneous Disc Decompression Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)
• Spinal Surgery: Percutaneous Intradiscal Electrothermal (IDET) Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty
• Spinal Surgery-Image-Guided Minimally Invasive Lumbar Decompression (IG-MLD, MELD, Percutaneous IG-MLD or PILD) for Spinal Stenosis
• Stand-Alone Ultrasound for Routine Breast Cancer Screening
• Stelara®(ustekinumab)
• Stelara®(ustekinumab)
• Stem Cell Transplantation for Spinal Cord Injury
• Transanal Endoscopic Microsurgery (TEMS)
• Transcatheter Pulmonary Valve Implantation
• Vagus Nerve Blocking for the Treatment of Morbid Obesity

Click here to view the Blue Cross Blue Shield 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.

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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.