BCBS Michigan Medical Policy Updates – May 2021

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

May 2021 BCBS Michigan Medical Policy Updates:

• Accelerated Breast Irradiation after Breast-Conserving Surgery for Early Stage Breast Cancer and Breast Brachytherapy as Boost with Whole-Breast Irradiation
• Aqueous Shunts and Stents for Glaucoma
• Automated Point-of-Care Nerve Conduction Tests
• Automated Visual Evoked Potentials for Routine Vision Sreening in Pediatrics
• Balloon Ostial Dilation for Treatment of Chronic and Recurrent Rhinosinusitis
• Biofeedback
• Blepharoplasty and Repair of Brow Ptosis
• Bone Growth Stimulation: Ultrasound Accelerated Fracture Healing Device
• Brachytherapy for Clinically Localized Prostate Cancer Using Permanently Implanted Seeds
• Cerebrospinal Fluid and Urinary Biomarkers of Alzheimer’s Disease
• Chelation Therapy, Including Off-Label Uses
• Chronic Intermittent Intravenous Insulin Therapy (CIIIT)
• Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
• Composite Tissue Allotransplantation
• Computed Tomography to Detect Coronary Artery Calcification
• Computed Tomography to Detect Coronary Artery Calcification
• Computer-Aided Evaluation as an Adjunct to Magnetic Resonance Imaging of the Breast
• Contrast-Enhanced Computed Tomography Angiography (CTA, CCTA, MDCT, MSCT) of the Heart and/or Coronary Arteries
• Corneal Liquid Bandage Lens for Corneal Epithelial Defects/Scleral Lenses
• Cosmetic and Reconstructive Surgery
• CPT Category III Codes-Noncovered Services
• Cranial Orthosis (Helmet or Band Therapy) as a Treatment of Plagiocephaly
• Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors
• Defecography/Proctography
• Drug Testing in Pain Management and Substance Use Disorder Treatment
• Dry Needling of Trigger Points for Myofascial Pain
• Echosclerotherapy for the Treatment of Varicose Veins
• Enteral Nutrition
• Extra-Aortic Counter-Pulsation Ventricular Assist System (E.G., C-Pulse® Heart Assist)
• Extracranial Carotid Artery Stenting
• Fecal Incontinence—Investigational Treatments
• Fetal Surgery for Prenatally Diagnosed Malformations
• Gene Analysis for Corneal Dystrophy
• Gene Expression Profile Testing and Circulating Tumor DNA Testing  for Predicting Recurrence in Colon Cancer
• Gene Variants Associated with Breast Cancer In Individuals at High Breast Cancer Risk
• Genetic Testing – Analysis of MGMT Promoter Methylation in Malignant Gliomas
• Genetic Testing-  Molecular Testing for the Diagnosis and Management of Pancreatic Cysts, Barrett Esophagus, and Solid Pancreaticobiliary Lesions
• Genetic Testing and Counseling
• Genetic Testing for Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia (ARVC/D)
• Genetic Testing for Cystic Fibrosis
• Genetic Testing for Cytochrome P450 Polymorphisms
• Genetic Testing for Huntington Disease
• Genetic Testing for Inherited Hypertrophic Cardiomyopathy
• Genetic Testing for Noonan Spectrum Disorder
• Genetic Testing for Statin-Induced Myopathy
• Genetic Testing of CADASIL Syndrome
• Genetic Testing-Fetal RHD Genotyping Using Maternal Plasma
• Genetic, Molecular and Other Tests-Experimental/Investigational Status
• Heart Transplant
• H-Wave Stimulation
• Immune Cell Function Assay
• Infertility Diagnosis
• Infusion of Therapeutic Agents to the Brain (Convection-Enhanced Intraparenchymal Delivery)
• Intraoperative Fluorescence Imaging Systems
• Measurement of Lipoprotein-Associated Phospholipase A 2 (Lp-PLA2) and Secretory Type II Phospholipase A 2 (sPLA2-IIA) in the Assessment of Cardiovascular Risk
• Meniscal Allografts and Other Meniscal Implants
• Monochromatic Infrared Energy (MIRE) Device for the Treatment of Cutaneous Ulcers, Diabetic Neuropathy and Miscellaneous Musculoskeletal Conditions
• Myeloperoxidase (MPO) Immunoassay for Cardiac Disease Risk
• Obstructive Sleep Apnea and Snoring – Surgical Treatment
• Prostatic Urethral Lift Procedure for the Treatment of BPH
• Recombinant and Autologous Platelet-Derived Growth Factors as a Treatment of Wound Healing and Other Non-Orthopedic Conditions
• Transgender Services
• Virtual Colonoscopy/CT Colonography
• Wearable Cardioverter Defibrillators

Updated 5/10/2021:

• Allergy Testing and Immunotherapy
• Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry
• Continuous Passive Motion Machine (CPM)
• Dual Energy X-Ray Absorptiometry (DXA) Body Composition Study
• Genetic Testing-Microarray Testing for Cancers of Unknown Primary (CUP) Origin
• Islet Transplantation
• Optical Coherence Tomography (OCT) of the Middle Ear
• Oral Surgery
• Percutaneous Sacral Augmentation
• Peripheral Subcutaneous Field Stimulation
• Pharmacogenomic and Metabolite Markers for Patients Treated with Thiopurines
• Phonophoresis
• Polymerase Chain Reaction (PCR) Testing in the Diagnosis of Onychomycosis
• Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer (NSCLC), e.g., VeriStrat®
• Radioembolization for Primary and Metastatic Tumors of the Liver
• Radiofrequency Ablation of Primary or Metastatic Liver Tumors
• Sacral Nerve Neuromodulation/Stimulation
• Screening for Lung Cancer Using Computed Tomography Scanning or Chest Radiographs
• Transgender Services
• Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis

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

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