Click here to view the Humana Medical Policy Updates Updates » September 2024 Humana Medical…
BCBS Michigan Medical Policy Updates – September 2024
Click here to view the Blue Cross Blue Shield BCBS Michigan Medical Policy Updates »
September 2024 BCBS Michigan Medical Policy Updates:
- Aim Abraxane (Nab-Paclitaxel; Paclitaxel Protein-Bound Particles)
- Aim Enhertu
- Annular Closure Devices (E.G.., Barricaid®, Xclose®, Inclose™) (Effective 11/01/2024)
- Artificial Intervertebral Discs Lumbar Spine
- Autografts And Allografts In The Treatment Of Focal Articular Cartilage Lesions (Effective 11/01/2024)
- Bcbsm Only: 48-Hour Limitation Of Observation Bed Services
- Bioimpedance Devices For Detection And Management Of Lymphedema
- Bmt – Hematopoietic Cell Transplantation For Acute Lymphoblastic Leukemia
- Bmt – Hematopoietic Cell Transplantation For Germ-Cell Tumors (Effective 11/01/2024)
- Bmt – Hematopoietic Cell Transplantation For Non-Hodgkin Lymphomas (Effective 11/01/2024)
- Bmt – Hematopoietic Cell Transplantation For Solid Tumors Of Childhood (Effective 11/01/2024)
- Bmt- Hematopoietic Cell Transplantation (Hct) For Cns Embryonal Tumors And Ependymoma
- Bone Graft Substitutes
- Bone Marrow Hematopoietic Cell Transplantation For Primary Amyloidosis
- Bone Marrow Hematopoietic Stem Cell Transplantation For Miscellaneous Solid Tumors In Adults
- Bone Marrow Transplant – Hematopoietic Cell Transplantation For Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma – Autologous And Allogeneic
- Bone Marrow Transplant – Hematopoietic Cell Transplantation For Myelodysplastic Syndromes And Myeloproliferative Neoplasms, Allogeneic
- Bone Marrow Transplant Hematopoietic Cell Transplantation For Epithelial Ovarian Cancer
- Bone Marrow Transplant- Hematopoietic Stem Cell Transplant For Genetic Diseases And Acquired Anemias, Allogeneic
- Bone Marrow Transplantation / Hematopoietic Cell Transplantation For Autoimmune Diseases
- Bone Marrow Transplantation For Malignant Astrocytomas And Gliomas, Autologous
- Bone Morphogenetic Protein (Effective 09/01/2023)
- Bone Turnover Markers For Diagnosis And Management Of Osteoporosis And Diseases Associated With High Bone Turnover
- Breast Reduction For Breast-Related Symptoms
- Bronchial Valves
- Cardiac Rehabilitation, Outpatient
- Cardiovascular Risk Panels
- Carpal Tunnel Release Novel Methods
- Chemical Peels
- Circulating Tumor Dna For Management Of Non-Small-Cell Lung Cancer (Liquid Biopsy)
- Coblation, Radiofrequency Ablation For Musculoskeletal Conditions
- Cognitive Rehabilitation
- Computed Tomography To Detect Coronary Artery Calcification
- Contraception And Voluntary Sterilization (Effective 11/01/2024)
- Coverage Of Routine Services Associated With Clinical Trials
- Cpt Category Iii Codes-Non-Covered Services
- Dengue Vaccine, Quadrivalent, Live, 2 Dose Schedule, For Subcutaneous Use
- Diagnosis Of Vaginitis (Including Bacterial Vaginosis, Trichomonas And Candidiasis) Using Multi-Target Pcr Testing
- Digital Health Technologies: Diagnostic Applications (Effective 11/01/2024)
- Digital Health Technologies: Therapeutic Applications
- Elemental Formula (Effective 11/01/2024)
- Endoscopic Radiofrequency Ablation Or Cryoablation For Barrett Esophagus
- Endovascular Procedures For Intracranial Arterial Disease
- Endovascular Therapies For Extracranial Vertebral Artery Disease
- Evaluation Of Biomarkers For Alzheimer’S Disease
- Facet Joint Denervation (Effective 11/01/2024)
- Fecal Microbiota Transplantation (Fecal Bacteriotherapy, Fecal Transplant)
- Fetal Magnetocardiography (Effective 11/01/2024)
- Frenum Surgery
- Genetic Testing – Human Leukocyte Antigen Testing For Celiac Disease
- Genetic Testing For Dilated Cardiomyopathy
- Genetic Testing For Duchenne And Becker Muscular Dystrophy
- Genetic Testing For Flt3, Npm1, Cebpa, Idh1 And Idh2 Variants In Acute Myeloid Leukemia
- Genetic Testing For Fmr1 And Fmr2 Variants (Including Fragile X And Fragile Xe Syndromes)
- Genetic Testing For Marfan Syndrome, Ehlers-Danlos, Thoracic Aortic Aneurysms And Dissections, And Connective Tissue Related Disorders (Effective 11/01/2024)
- Genotype-Guided Warfarin Dosing
- Hearing Services
- Heart Transplant
- Home Uterine Activity Monitoring (Huam)
- Hyperbaric Oxygen Therapy, Systemic And Topical
- Imdelltra (Tarlatamab-Dlle)
- Immune Globulin Replacement Therapy (Ivig, Sqig J1599): Bivigam (J1556), Carimune (J1566), Cuvitru (J1599), Flebogamma (J1572), Gammastan S/D (J1460/J1560, 90281), Gammagard (J1569), Gammaplex (J1557), Gamunex/ Gammaked (J1561), Hizentra (J1559), Octagam (J1568), Privigen (J1459),
- Infertility Related To Cancer Treatment
- Inhaled Nitric Oxide (Effective 11/01/2024)
- Intensive Cardiac Rehabilitation
- Interferential Stimulation (Sympathetic Therapy)
- Interferon Lambda 3 (Ifnl3) Testing To Predict Response To Treatment Of Hepatitis C Virus (Hcv) Infection
- Intraoperative Neurophysiologic Monitoring (Sensory-Evoked Potentials, Motor-Evoked Potentials, Eeg Monitoring)
- Intravitreal And Punctum Corticosteroid Implants
- Laboratory Tests – Genetic, Molecular And Other Tests – Experimental/Investigational
- Laboratory Tests Post Transplant (Kidney And Heart) And For Heart Failure
- Leadless Cardiac Pacemakers (Effective 11/01/2024)
- Light And Laser Therapy For Vitiligo And Atopic Dermatitis
- Low-Dose Radiofrequency For Nasal Valve Remodeling
- Measurement Of Serum And Anti-Drug Antibody Levels For Selected Biologic Agents
- Microprocessor-Controlled Prostheses And Orthoses For The Lower Limb
- Molecular Testing In The Management Of Pulmonary Nodules (Effective 11/01/2024)
- Myolysis Of Uterine Fibroids Using Laparoscopic, Percutaneous Or Transcervical Techniques
- Nerve Graft With Radical Prostatectomy
- Noncontact Ultrasound Treatment For Wounds
- Noninvasive Techniques For The Evaluation And Monitoring Of Patients With Chronic Liver Disease
- Ohtuvayre (Ensifentrine) – Medicare Only
- Orthognathic Surgery
- Oxygen Therapy For The Treatment Of Cluster Headaches
- Piasky (Crovalimab-Akkz)
- Pneumatic Compression Pumps And Appliances For Venous Ulcers (Effective 11/01/2024)
- Private Duty Nursing
- Prolotherapy
- Proprietary Laboratory Analyses (Pla) Codes
- Pulmonary Rehabilitation
- Radiofrequency Ablation Of Peripheral Nerves To Treat Pain, Including Coolief Cooled Rf (Effective 11/01/2024)
- Reconstructive Breast Surgery And Management Of Breast Implants (Effective 11/01/2024)
- Responsive Neurostimulation For The Treatment Of Refractory Focal Epilepsy
- Rytelo
- Site Of Care
- Skin And Tissue Substitutes (Effective 11/01/2024)
- 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 Treatment Of Major Depression With Seasonal Pattern
- Transanal Endoscopic Microsurgery (Tems)
- Transcatheter Aortic Valve Implantation For Aortic Stenosis
- Transcranial Magnetic Stimulation As A Treatment Of Depression And Other Psychiatric/Neurologic Disorders
- Transcutaneous Electrical Modulation Pain Reprocessing (Scrambler Therapy)
- Transplant-Islet Cell (Autologous) For Chronic Pancreatitis (Effective 11/01/2024)
- Transplant-Liver (Effective 11/01/2024)
- Transplant-Lung And Lobar Lung (Effective 11/01/2024)
- Ultrafiltration In Decompensated Heart Failure (Effective 11/01/2024)
Click here to view the Blue Cross Blue Shield BCBS Michigan Medical Policy Updates »
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