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BCBS South Carolina Medical Policy Updates – December 2023
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
December 2023 BCBS South Carolina Medical Policy Updates:
- ABDOMEN MRA (Angiography)
- Absorbable Nasal Implant for Treatment of Nasal Valve Collapse
- Adoptive Immunotherapy
- Annular Closure Devices (e.g., BARRICAID®, XCLOSE®, INCLOSE™)
- Antineoplaston Therapy and Sodium Phenylbutyrate
- Applied Behavioral Analysis Services
- Aqueous Shunts and Devices for Glaucoma
- Avelumab (Bavencio®)
- Biochemical Markers of Alzheimer Disease and Dementia
- Biofeedback as a Treatment of Fecal Incontinence or Constipation
- Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases
- Biomarkers for Myocardial Infarction and Chronic Heart Failure
- Bone Turnover Markers Testing
- Botulinum Toxin
- Brain PET Scan
- BRCA
- Cardiac Rehabilitation in the Outpatient Setting
- Celiac Disease Testing
- Cerebral Perfusion Analysis CT
- Cervical Cancer Screening Technologies With Pap and HPV
- Cervical Spine Procedures
- Chimeric Antigen Receptor Therapy for Hematologic Malignancies
- Concurrent Care
- Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
- Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy
- CT (Virtual) Colonoscopy — Diagnostic
- CT Angiography, Abdomen and Pelvis
- CT Angiography, Abdomen
- CT Angiography, Head/Brain
- CT Angiography, Pelvis
- CT Angiography, Upper Extremity
- CT Cervical Spine
- CT Head/Brain
- CT Soft Tissue Neck
- CT Thoracic Spine
- CT Upper Extremity
- Diagnosis and Non Surgical Treatment of Sacroiliac Joint Pain
- Diagnosis of Obstructive Sleep Apnea Syndrome
- Diagnostic Testing of Influenza
- Diagnostic Testing of Most Common Sexually Transmitted Infections
- Dry Needling for Myofascial Pain
- efgartigimod alfa -Vyvgart™
- Endothelial Keratoplasty
- Epidural Spinal Injections
- Epithelial Cell Cytology in Breast Cancer Risk Assessment and High-Risk Patient Management (Ductal Lavage and Suction Collection Systems)
- Evaluation of Hearing Impairment
- Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing
- Fetal MRI
- Gastric Electrical Stimulation
- Genetic Testing and Genetic Expression Profiling in Patients With Uveal Melanoma
- Genetic Testing for Breast, Ovarian, Pancreatic, and Prostate Cancers
- Genetic Testing for Familial Hypercholesterolemia
- Genetic Testing for Li-Fraumeni Syndrome
- Genetic Testing for Neurodegenerative Disorders
- Genetic Testing for PTEN Hamartoma Tumor Syndrome
- Genomic Testing for Hematopoietic Neoplasms
- Hematopoietic Colony-Stimulating Factors (CSFs)
- Hepatitis Testing
- Hip Resurfacing
- Human Growth Hormone
- Immune Cell Function Assay
- Immune Globulin Therapy
- Immunopharmacologic Monitoring of Therapeutic Serum Antibodies
- Implantable Cardioverter Defibrillator (ICD)
- In Vitro Chemoresistance and Chemosensitivity Assays
- inclisiran (Leqvio®)
- InflammaDry Test
- Inhaled Nitric Oxide
- Intensity-Modulated Radiotherapy of the Prostate
- Intravenous Iron
- Laboratory Testing for the Diagnosis of Inflammatory Bowel Disease
- Leadless Cardiac Pacemakers
- Lower Extremity CTA/CTV
- Lower Extremity MRA/MRV
- Lumbar Artificial Disc Replacement
- Lumbar Spinal Procedures
- Lynch Syndrome Testing
- Lysis of Epidural Adhesions
- Measurement of Thromboxane Metabolites for Aspirin Resistance
- Mepolizumab (Nucala®)
- Metabolite Markers of Thiopurines Testing
- Minimal Residual Disease
- Molecular Analysis for Gliomas
- Molecular Testing of Pulmonary Specimens
- MR Angiography Chest
- MR Angiography Spinal Canal
- MR Angiography Upper Extremity
- MRI Bone Marrow
- MRI Cervical Spine
- MRI Chest (Thorax)
- MUGA Scan
- NECK MRA/MRV
- Nerve Fiber Density Testing
- Nivolumab; Relatlimab-rmbw (Opdualag) injection
- Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease
- Ocriplasmin for Symptomatic Vitreomacular Adhesion
- Omalizumab (Xolair®)
- Oncologic uses of Interferon Therapy
- Open and Thoracoscopic Approaches To Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures)
- Orbit, Face, Neck, Sinus MRI
- Paravertebral Facet Joint Denervation (Radiofrequency Neurolysis)
- Paravertebral Facet Joint Injections/Blocks
- Pembrolizumab (Keytruda)
- Periureteral Bulking Agents for the Treatment of Vesicoureteral Reflux (VUR)
- Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia
- PET Scan
- Phototherapy: PUVA, UV-B and Targeted Phototherapy
- Placental and Umbilical Cord Blood as a Source of Stem Cells
- Plugs for Fistula Repair
- Pre-implantation Genetic Testing
- Prenatal Testing for Fetal Aneuploidy
- Preventive Services for Non-Grandfathered (PPACA) Plans: Immunizations
- Preventive Services for Non-Grandfathered (PPACA) Plans: USPSTF recommended services
- Prostate Biopsy Specimen Analysis
- Proteogenomic Testing of Individuals With Cancer
- Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder
- Quantose Impaired Glucose Tolerance (IGT) Test
- Radicava (edaravone injection)
- Radioactive Seed Localization of Nonpalpable Breast Lesions
- Radioembolization for Primary and Metastatic Tumors of the Liver
- Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Resistant Hypertension
- Radiopharmaceutical Tumor Localization (SPECT), Single Area
- Retinal Prosthesis
- Retinal Telescreening for Diabetic Retinopathy
- Reverse Shoulder Arthroplasty
- SACROILIAC JOINT FUSION
- Skilled Nursing Facility
- Somatostatin Analogs
- Speech Generating Devices
- Steroid-Eluting Sinus Stents and Implants
- Subtalar Arthroereisis and Subtalar Joint Implant
- Telehealth
- Testing for Diagnosis of Active or Latent Tuberculosis
- Therapeutic Drug Monitoring for 5-Fluorouracil
- Therapeutic Radiopharmaceuticals for Prostate Cancer
- Transcatheter Mitral Valve Repair
- Treatment of Varicose Veins/Venous Insufficiency
- Trigger Point and Tender Point Injections
- Use of Common Genetic Variants (Single Nucleotide Polymorphisms) To Predict Risk of Non-Familial Breast Cancer
- Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
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