Click here to view the Premera Blue Cross Medical Policy Updates » December 2024 Medical…
BCBS South Carolina Medical Policy Updates – December 2022
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
December 2022 BCBS South Carolina Medical Policy Updates:
- Air Fluidized Beds
- Allogeneic Pancreas Transplant
- Annular Closure Devices (e.g., BARRICAID®, XCLOSE®, INCLOSE™)
- Antiemetics
- Arthroscopic Debridement and Lavage as Treatment for Osteoarthritis of the Knee
- Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
- Avelumab (Bavencio®)
- Axial Lumbosacral Interbody Fusion
- Axillary Reverse Mapping for Breast Cancer-Related Lymphedema
- Belinostat (Beleodaq)
- Betibeglogene autotemcel (Zynteglo®) (Intravenous)
- Bimatoprost Implant (Durysta™)
- Blinatumomab (Blincyto)
- Bone Morphogenetic Protein
- Bowel Management Devices
- Brain (Head) MRS
- Cardiac Applications of PET Scanning
- CT Abdomen and Pelvis
- CT Abdomen
- CT Angiography, Chest (non coronary)
- CT Angiography, Chest (Noncoronary) | BlueCross BlueShield of South Carolina
- CT Bone Density Study
- CT Chest (Thorax)
- CT Heart
- CT Lower Extremity (Ankle, Foot, Hip or Knee)
- CT Pelvis
- CTA Coronary Arteries (CCTA)
- Daily Hemodialysis and Hemodialysis in the Home Setting
- Digital Breast Tomosynthesis
- Dynamic Posturography
- Electrical Bone Growth Stimulation of the Appendicular Skeleton
- Electromagnetic Navigation Bronchoscopy
- Elivaldogene autotemcel (Skysona) Suspension for Intravenous Infusion
- Endobronchial Ultrasound for Diagnosis and Staging of Lung Cancer
- Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis
- Functional MRI Brain
- Hereditary Angioedema Drug Therapy
- Home Health Services Policy
- Home Non-Invasive Positive Airway Pressure for Chronic Obstructive Pulmonary Disease
- Home Uterine Activity Monitoring
- HYPERTHERMIA With Radiation
- Identification of Microorganisms Using Nucleic Acid Probes
- Implantable Bone Conduction and Bone Anchored Hearing Aids
- inclisiran (Leqvio®)
- Intracardiac Ischemia Monitoring
- Kidney Transplant
- Laser Interstitial Thermal Therapy for Neurological Conditions
- Liver Transplant and Combined Liver-Kidney Transplant
- Metabolite Markers of Thiopurines Testing
- Microwave Tumor Ablation
- Minimal Residual Disease
- Minimally Invasive Hip and Knee Arthroplasty
- MRI Brain (includes Internal Auditory Canal)
- MRI Breast
- MRI Heart
- MRI Lower Extremity (Ankle, Foot, Knee, Hip, Leg) (Joint and other than joint)
- MRI Lumbar Spine
- MRI MRCP Abdomen
- MRI Thoracic Spine
- Myocardial Perfusion Imaging (Nuc Card)
- Nexviazyme™ (avalglucosidase alfa-ngpt) Injection
- Nivolumab; Relatlimab-rmbw (Opdualag) injection
- Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease
- Nulojix® (belatacept)
- Oncologic Applications of Interleukin-2 (Aldesleukin) When Used as Monotherapy
- Oncologic uses of Interferon Therapy
- Orthodontic Treatment
- Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty
- Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
- Photodynamic Therapy for Choroidal Neovascularization
- Plasma Exchange (Plasmapheresis)
- Prenatal Genetic and Chromosomal Metabolic Testing
- Progesterone Therapy as a Technique to Reduce Preterm Delivery in High-Risk Pregnancies
- Prolia (Denosumab)
- Radioimmunoscintigraphy (Monoclonal Antibody Imaging) With Indium 111 Capromab Pendetide for Prostate Cancer
- Ramucirumab (Cyramza®)
- Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
- Siltuximab (Sylvant)
- Sinus Maxillofacial CT
- Small Bowel/Liver and Multivisceral Transplant
- Surgical and Ablative Treatments for Chronic Headaches
- Surgical Treatments for Lymphedema and Lipedema
- TEMPORAL BONE, MASTOID, ORBITS CT
- Total Ankle Replacement
- Transcatheter Aortic-Valve Implantation for Aortic Stenosis
- Treatment of Chest Wall Deformities (Congenital or Acquired)
- UPPER EXTREMITY MRI (Hand, Wrist, Arm, Elbow, Long bone, or Shoulder MRI)
- Vabysmo™ (faricimab-svoa)
- Vacuum-Assisted Breast Biopsy
- Vagus Nerve Stimulation
- Vestibular Function Testing
- VYONDYS 53 (golodirsen)
- Xgeva (Denosumab)
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
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