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BCBS Michigan Medical Policy Updates – September 2018
Click here to view the Blue Cross Blue Shield Michigan Medical Policy Updates »
September 2018 BCBS Michigan Medical Policy Updates:
- CPT Category III Codes-Noncovered Services
- Cytoreductive Surgery and Perioperative Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies
- Genetic Testing – Gene Expression Testing in the Evaluation of Patients with Stable Ischemic Heart Disease
- Genetic Testing for Alzheimer’s Disease
- Genetic Testing for Heterozygous Familial Hypercholesterolemia
- Genetic Testing—BRAF Mutation in Selecting Melanoma or Glioma Patients for Targeted Therapy
- Laboratory Testing for HIV Tropism
- Leadless Permanent Cardiac Pacemakers
- Lung and Lobar Lung Transplant
- Lymphedema—Surgical Treatments
- Magnetic Resonance Spectroscopy
- Magnetic Resonance-Guided Focused Ultrasound (MRgFUS)
- Mastectomy for Male Gynecomastia
- Meniscal Allografts and Other Meniscal Implants
- Nerve Graft with Radical Prostatectomy
- Noninvasive Ear or Pulse Oximetry for Oxygen Saturation by Continuous Overnight Monitoring for Sleep Disorders
- Optical Coherence Tomography Imaging, Anterior Eye
- Orthognathic Surgery
- Oxygen Therapy for the Treatment of Cluster Headaches
- Pneumatic Compression Pumps (e.g., Flexitouch™ System) for Lymphedema
- Positron Emission Tomography (PET Scans) for Cardiac Applications
- Positron Emission Tomography (PET) for Miscellaneous Applications (Non-Cardiac, Non-Oncologic)
- Sphenopalatine Ganglion Block for Headache
- Temporomandibular Joint Dysfunction (TMJD) Testing and Treatment
- Transcatheter Aortic Valve Implantation for Aortic Stenosis
- Transcatheter Mitral Valve Repair
- Wireless Capsule Endoscopy to Diagnose Disorders of the Small Bowel, Esophagus, and Colon
Added 9/21/2018;
- Actemra ® (tocilizumab)
- Arthroscopic Debridement and Lavage as Treatment for Disorders of the Knee
- Automated Audiometry
- Denosumab (Prolia®/Xgeva®)
- EntyvioTM(vedolizumab)
- Ilaris®(canakinumab)
- Lutathera® (lutetium LU 177 dotatate intravenous injection)
- Orencia®(abatacept)
- Remicade® (Infliximab), Renflexis™ (infliximab-abda), Inflectra® (infliximab-dyyb), Ixifi TM(infliximab-qbtx)
- Retinal Prosthesis
- Simponi Aria®(golimumab)
- Small Bowel Transplant-Isolated
- Spinal Manipulation Under Anesthesia
- Surgical Deactivation of Headache Trigger Sites
- Surgical Treatment of Femoroacetabular Impingement
- Surgical Ventricular Restoration (SVR)
- Therapeutic Light Box for the Treatment of Major Depression With Seasonal Pattern
- Total Parenteral Nutrition (Hyperalimentation)
- Transcutaneous Electrical Modulation Pain Reprocessing (Scrambler Therapy)
- Trogarzo ™(ibalizumab-ulyk)
- Vertebral Axial Decompression
- Vestibular Function Testing
- Zilretta®(triamcinolone acetonice extended-release injectable suspension, for intra-articular use)
Click here to view the Blue Cross Blue Shield Michigan Medical Policy Updates »
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