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BCBS South Carolina Medical Policy Updates – December 2024
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Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
December 2024 BCBS South Carolina Medical Policy Updates:
- Air Fluidized Beds
- Allogeneic Pancreas Transplant
- Arthroscopic Debridement and Lavage as Treatment for Osteoarthritis of the Knee
- Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
- Axial Lumbosacral Interbody Fusion
- Balloon Dilation of the Eustachian Tube
- Benlysta® (belimumab)
- Biochemical Markers of Alzheimer Disease and Dementia
- Bone Morphogenetic Protein
- Bowel Management Devices
- Brain (Head) MRS
- Bulking Agents for the Treatment of Vocal Cord Paralysis
- Canakinumab (Ilaris®)
- Coronary Artery Calcium Scoring by: Electron-Beam Tomography (EBCT) OR Non-Contrast Coronary Computed Tomography (Non-contrast CCT)
- CT Abdomen and Pelvis
- CT Abdomen
- 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 Lumbar Spine
- CT Pelvis
- Daily Hemodialysis and Hemodialysis in the Home Setting
- Diabetes Mellitus Testing
- 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
- Evenity (romosozumab-aqqg)
- Focal Treatments for Prostate Cancer
- Functional MRI Brain
- Heart (Cardiac) PET
- Heart (Cardiac) PET With CT for Attenuation
- Home Non-Invasive Positive Airway Pressure Devices for the Treatment of Respiratory Insufficiency and Failure
- HYPERTHERMIA With Radiation
- Implantable Bone Conduction and Bone Anchored Hearing Aids
- Infliximab
- Intracardiac Ischemia Monitoring
- Intraoperative Radiotherapy
- Intravitreal Angiogenesis Inhibitors for Retinal Vascular Conditions
- Kidney Transplant
- Laser Interstitial Thermal Therapy for Neurological Conditions
- Liver Transplant and Combined Liver-Kidney Transplant
- Lower Extremity MRI (Foot, Ankle, Knee, Leg or Hip MRI)
- Lumbar Artificial Disc Replacement
- Magnetic Resonance‒Guided Focused Ultrasound
- Microwave Tumor Ablation
- Minimally Invasive Hip and Knee Arthroplasty
- MRI Brain (includes Internal Auditory Canal)
- MRI Breast
- MRI Heart
- MRI Lumbar Spine
- MRI MRCP MRE MRU Abdomen
- MRI Pelvis
- MRI Thoracic Spine
- Myocardial Perfusion Imaging (Nuc Card)
- Neutron Beam Therapy (NBT)
- Oncologic Applications of Interleukin-2 (Aldesleukin) When Used as Monotherapy
- Oncologic uses of Interferon Therapy
- Orthodontic Treatment
- Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders
- Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Biacuplasty
- Photodynamic Therapy for Choroidal Neovascularization
- Preventive Services for Non-Grandfathered (PPACA) Plans: Immunizations
- Radiation Therapy for Non-Cancerous Conditions
- Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
- Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
- Sinus Maxillofacial CT
- Small Bowel/Liver and Multivisceral Transplant
- Surgical and Ablative Treatments for Chronic Headaches
- Surgical Treatments for Lymphedema and Lipedema
- Telehealth
- Temporal Bone, Mastoid, Orbits, Sella, Internal Auditory Canal CT
- Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia
- Tepilizumab-mzwv (Tzield)
- Total Ankle Replacement
- Transcatheter Aortic-Valve Implantation for Aortic Stenosis
- UPPER EXTREMITY MRI (Hand, Wrist, Arm, Elbow, Long bone, or Shoulder MRI)
- Vagus Nerve Stimulation
- Vestibular Function Testing
- Women’s Preventive Services
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