BCBS Minnesota Medical Policy Updates – July 2018

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

July 2018 Medical Policy Updates:

• Acupuncture
• Agalsidase Beta
• Alglucosidase Alfa
• Amino Acid-Based Elemental Formulas
• Belimumab
• Benralizumab
• Bezlotoxumab
• Blepharoplasty and Brow Ptosis Repair
• Breast Ductal Lavage and Fiberoptic Ductoscopy
• Cardiovascular Disease Risk Assessment and Management: Laboratory Evaluation of Non-Traditional Lipid and Nonlipid Biomarkers
• Endoscopic Radiofrequency Ablation or Cryoablation for Barrett’s Esophagus
• Esophageal pH Monitoring
• Fecal Microbiota Transplantation
• Gene Expression Profiling for the Management of Breast Cancer Treatment
• Gene Expression Testing to Predict Coronary Artery Disease (CAD)
• Genetic Cancer Susceptibility Panels
• Golimumab (Simponi Aria)
• Gynecomastia Surgery
• Image-Guided Minimally Invasive Decompression for Spinal Stenosis
• Injectable Clostridial Collagenase for Fibroproliferative Disorders
• Interferential Current Stimulation
• Mepolizumab
• Molecular Marker Evaluation of Thyroid Nodules
• Nusinersen
• Pegloticase
• Progesterone Therapy to Reduce Preterm Birth in High-Risk Pregnancies
• Proton Beam Radiation Therapy
• Reduction Mammoplasty
• Reslizumab
• Respiratory Syncytial Virus (RSV) Prophylaxis
• Sacral Nerve Neuromodulation/Stimulation for Selected Conditions
• Saliva Hormone Tests
• Sebelipase Alfa
• Selected Treatments for Varicose Veins of the Lower Extremities
• Sleep Studies/Polysomnograms in Children and Adolescents
• Spinal Fusion: Lumbar
• Traction Decompression of the Spine
• Transcatheter Mitral Valve Repair
• Transcatheter Pulmonary Valve Implantation
• Trigger Point Injections
• Tumor Treating Fields Therapy
• Ustekinumab
• Voretigene Neparvovec
• Whole Body Dual X-Ray Absorptiometry (DXA) to Determine Body Composition

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

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