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BCBS Michigan Medical Policy Updates – November 2024
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Click here to view the Blue Cross Blue Shield BCBS Michigan Medical Policy Updates »
November 2024 BCBS Michigan Medical Policy Updates:
- Ablation Of Peripheral Nerves To Treat Pain Including Coolief Cooled Rf And Iovera° System (Effective 01/01/2025)
- Air Ambulance Services
- Alternative Physical Therapy Modalities-Experimental/Investigational
- Ambulatory Blood Pressure Monitoring For Screening And Diagnosis Of Hypertension
- Annular Closure Devices (E.G., Barricaid, Xclose, Inclose)
- Aspirin Resistance Testing
- Auditory Brain Stem Implant
- Autism Spectrum Disorder Services
- Autografts And Allografts For Nerve Repair
- Autografts And Allografts In The Treatment Of Focal Articular Cartilage Lesions
- Balloon Ostial Dilation For Treatment Of Chronic And Recurrent Rhinosinusitis
- Bmt – Hematopoietic Cell Transplantation For Chronic Myeloid Leukemia
- Bmt – Hematopoietic Cell Transplantation For Solid Tumors Of Childhood
- Bmt – Hematopoietic Cell Transplantation In The Treatment Of Germ Cell Tumors
- Bmt – Hematopoietic Stem-Cell Transplantation For Hodgkin Lymphoma
- Bmt – Hematopoietic Stem-Cell Transplantation For Non-Hodgkin Lymphomas
- Bmt – Stem Cell Transplant For Waldenstrom’S Macroglobulinemia
- Complementary And Alternative Medicine (Cam)
- Contraception And Voluntary Sterilization
- Cpt Category Iii Codes-Non-Covered Services
- Cranial Electrotherapy Stimulation (Ces) And Auricular Electrostimulation
- Cryoablation, Radiofrequency Ablation, And Laser Ablation For Treatment Of Chronic Rhinitis
- Dialectical Behavior Therapy (Effective01/01/2025)
- Digital Health Technologies: Diagnostic Applications
- Elemental Formulas
- Facet Joint Denervation
- Fetal Magnetocardiography
- Genetic Cancer Susceptibility Panels Using Next Generation Sequencing
- Genetic Testing For Marfan Syndrome, Ehlers-Danlos, Thoracic Aortic Aneurysms And Dissections, And Connective Tissue Related Disorders
- Genetic Testing-Assays Of Genetic Expression In Tumor Tissue As A Technique To Help Guide Decision-Making In Patients With Breast Cancer
- Genetic Testing-Braf/Ntrk Mutation In Selecting Melanoma Patients For Targeted Therapy Including Liquid Biopsy (Effective01/01/2025)
- Genetic Testing-Non-Invasive Prenatal Testing For Fetal Rbc Antigen Status (Effective01/01/2025)
- Germline And Somatic Biomarker Testing (Including Liquid Biopsy) For Targeted Treatment In Prostate Cancer (Brca1/2, Homologous Recombination Repair Gene Alterations)
- Hyperbaric Oxygen Therapy, Systemic And Topical (Effective 01/01/2025)
- Identification Of Microorganisms Using Nucleic Acid Probes (Effective01/01/2025)
- Ingestible Capsule For Assessment Of Gastrointestinal (Motility) Disorders
- Inhaled Nitric Oxide (Ino)
- Intraocular Radiation Therapy For Age-Related Macular Degeneration
- Islet Transplantation
- Laboratory Testing For Hiv Tropism
- Laboratory Tests – Genetic, Molecular And Other Tests – Experimental/Investigational
- Leadless Cardiac Pacemakers
- Liver Transplant
- Lung And Lobar Lung Transplant
- Magnetic Esophageal Sphincter Augmentation To Treat Gastroesophageal Reflux Disease (Gerd)
- Measurement Of Serum And Anti-Drug Antibody Levels For Selected Biologic Agents
- Minimally Invasive Lumbar Interbody Fusion
- Molecular Testing In The Management Of Pulmonary Nodules
- Myoelectric Prosthetic And Orthotic Components For The Upper Limb
- Noninvasive Measurement Of Central Blood Pressure (Sphygmocor System, Vicorder, Pulse Wave Velocity, Physiowave)
- Novel Biomarkers In Risk Assessment And Management Of Cardiovascular Disease
- Occipital Nerve Stimulation
- Oncoprotein Des-Gamma-Carboxy Prothrombin (Dcp) Immunoassay
- Orthopedic Applications Of Platelet-Rich Plasma
- Orthotic Devices
- Percutaneous Left Atrial Appendage Closure Devices For Stroke Prevention In Atrial Fibrillation
- Phonophoresis
- Phrenic Nerve Stimulation And Diaphragm Pacing
- Phrenic Nerve Stimulation For Central Sleep Apnea
- Pneumatic Compression Pumps And Appliances (E.G., Flecitouch? System) For Lymphedema
- Pneumatic Compression Pumps And Appliances For Venous Ulcers
- Polymerase Chain Reaction (Pcr) Testing In The Diagnosis Of Onychomycosis (Effective 01/01/2025)
- Polymetabolite Urine Testing For Adenomatous Polyps
- Procalcitonin Testing (Pct)
- Proprietary Laboratory Analyses (Pla) Codes
- Prostatic Urethral Lift Procedure For The Treatment Of Bph
- Prosthetic Devices
- Quantitative Sensory Testing
- Radiofrequency Ablation Of Peripheral Nerves To Treat Pain Including Coolief Cooled Rf
- Reconstructive Breast Surgery And Management Of Breast Implants (Effective 11/01/2024)
- Reconstructive Breast Surgery/Management Of Breast Implants
- Retinal Polarization Scan (Retinal Birefringence Scanning)
- Salivary Testing For Hormone Levels (Effective01/01/2025)
- Semi-Implantable And Fully Implantable Middle Ear Hearing Aids
- Somatic Biomarker Testing (Including Liquid Biopsy) For Targeted Treatment In Metastatic Colorectal Cancer (Kras, Nras, Braf Ntrk, And Her2) (Effective01/01/2025)
- Sphenopalatine Ganglion Block For Headache
- Spinal Surgery Automated Percutaneous And Endoscopic Discectomy
- Steroid-Eluting Sinus Implants
- Surgical Treatment Of Femoroacetabular Impingement
- Telemedicine Services
- Transanal Hemorrhoidal Dearterialization
- Ultrafiltration In Decompensated Heart Failure
- Ultrasonographic Measurement Of Carotid Intima-Medial Thickness As An Assessment Of Subclinical Atherosclerosis
- Urinary Biomarkers For Bladder Cancer
- Vertical Expandable Prosthetic Titanium Rib
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