BCBS North Carolina Medical Policy Updates – July 2019

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

July 2019 Medical Policy Updates:

• Alemtuzumab (Lemtrada)
• Ambulatory Event Monitors
• Amniotic Membrane and Amniotic Fluid Injections
• Aqueous Shunts and Devices for Glaucoma
• Artificial Intervertebral Disc
• Artificial Pancreas Device Systems
• Automated Percutaneous and Endoscopic Discectomy
• Axial Lumbosacral Interbody Fusion
• Beta Amyloid Imaging With Positron Emission Tomography for Alzheimer’s Disease
• Brachytherapy, Intracavitary Balloon Catheter for Brain Cancer
• Breast Brachytherapy for Accelerated Partial Breast Radiotherapy
• Capsule Endoscopy, Wireless
• Cardiac (Heart) Transplantation
• Carotid Artery Angioplasty/Stenting (CAS)
• Catheter Ablation as a Treatment for Atrial Fibrillation
• Charged Particle Radiotherapy
• Chemoembolization of the Hepatic Artery, Transcatheter Approach
• cimzia_certolizumab_pegol.pdf
• Computerized Corneal Topography
• Congenital Heart Defect, Repair Devices
• Continuous Monitoring of Glucose in the Interstitial Fluid
• Cranial Electrotherapy Stimulation (CES) and Auricular Electrostimulation
• Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors
• Cryosurgical Ablation of Primary or Metastatic Liver Tumors
• CT Perfusion Imaging of the Brain
• Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)
• Denosumab (Prolia™, XGEVA™)
• Dopamine Transporter Imaging with Single Photon Emission Computed Tomography
• Eculizumab (Soliris®)
• Electrogastrography, Cutaneous
• Electronic Brachytherapy for Nonmelanoma Skin Cancer
• Endothelial Keratoplasty
• Endovascular Procedures for Intracranial Arterial Disease
• Endovascular Therapies for Extracranial Vertebral Artery Disease
• Enteral Nutrition
• Epiretinal Radiation Therapy for Age-Related Macular Degeneration
• Esophageal pH Monitoring
• Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome
• Fundus Photography
• Gastric Electrical Stimulation
• Gender Confirmation Surgery and Hormone Therapy
• Gene Expression Profiling for Uveal Melanoma
• Genetic Cancer Susceptibility Panels Using Next Generation Sequencing
• Genetic Testing for Macular Degeneration
• Glaucoma, Evaluation by Ophthalmologic Techniques
• Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins during Breast-Conserving Surgery
• Heart-Lung Transplantation
• Image-Guided Minimally Invasive Decompression (IG-MLD) for Spinal Stenosis
• Immunoglobulin Therapy
• Implantable Cardioverter Defibrillator
• Implantation of Intrastromal Corneal Ring Segments
• Insulin Therapy, Chronic Intermittent Intravenous (CIIIT)
• Intensity Modulated Radiation Therapy (IMRT) for Sarcoma of the Extremities
• Intensity Modulated Radiation Therapy (IMRT) of Abdomen and Pelvis
• Intensity Modulated Radiation Therapy (IMRT) of Head and Neck
• Intensity Modulated Radiation Therapy (IMRT) of the Chest
• Intensity Modulated Radiation Therapy for Tumors of the Central Nervous System
• Intensity-Modulated Radiation Therapy (IMRT) of the Prostate
• Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
• Interspinous Fixation Fusion Devices
• Intraoperative Neurophysiologic Monitoring (sensory-evoked potentials, motor-evoked potentials, EEG monitoring)
• Intravitreal Implant
• Islet Cell Transplantation
• Keratoprosthesis
• Liver Transplant and Combined Liver Kidney Transplant
• Lumbar Spine Fusion Surgery
• Magnetic Resonance Imaging (MRI) Targeted Biopsy of the Prostate
• Magnetic Resonance Spectroscopy
• Magnetoencephalography/Magnetic Source Imaging
• Molecular Markers in Fine Needle Aspirates of the Thyroid
• MRI-Guided Focused Ultrasound (MRgFUS)
• Myocardial Sympathetic Innervation Imaging
• Natalizumab (Tysabri)
• Nusinersin Spinraza
• Occipital Nerve Stimulation
• Ocrelizumab (Ocrevus)
• Optical Coherence Tomography (OCT) Anterior Segment of the Eye
• Pancreas Transplant
• Paraspinal Surface Electromyography (SEMG)
• Patient-Specific Cutting Guides and Custom Knee Implants
• Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty
• Percutaneous Left Atrial Appendage Closure Device for Stroke Prevention
• Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
• Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
• Polysomnography for Non‒Respiratory Sleep Disorders
• Positional Magnetic Resonance Imaging (MRI)
• Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis
• Radioembolization for Primary and Metastatic Tumors of the Liver
• Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
• Radiosurgery, Stereotactic Approach
• Refractive Surgery
• Rehabilitative Therapies
• Repository Corticotrophin (H.P. Acthar Gel)
• Sacral Nerve Neuromodulation/Stimulation for Pelvic Floor Dysfunction
• Screening for Vertebral Fracture with Dual X-ray Absorptiometry (DXA)
• Small Bowel, Small Bowel with Liver, or Multivisceral Transplant
• Somatostatin Analogs
• Subtalar Arthroereisis
• Surgery for Morbid Obesity
• Surgical Deactivation of Headache Trigger Sites
• Surgical Management of Transcatheter Heart Valves
• Surgical Ventricular Restoration
• Topical Negative Pressure Therapy for Wounds
• Total Facet Arthroplasty
• Transcatheter Closure of Ventricular Septal Defects
• Treatment for Severe Primary IGF-1 Deficiency
• Vagus Nerve Stimulation
• Vedolizumab (Entyvio)
• Vertebroplasty, Kyphoplasty, and Sacroplasty Percutaneous
• Vestibular Function Testing
• Viscocanalostomy and Canaloplasty
• Voretigene Neparvovec-rzyl (Luxturna)
• Zinplava (bezlotoxumab)

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

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