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BCBS South Carolina Medical Policy Updates – February 2023
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
February 2023 BCBS South Carolina Medical Policy Updates:
- Ado-Trastuzumab Emtansine (Trastuzumab-DM1) for Treatment of HER-2 Positive Malignancies
- Allergen Testing
- Bariatric Surgery
- Belinostat (Beleodaq)
- Bevacizumab (Avastin) for Oncologic Use
- Blinatumomab (Blincyto)
- Brain Natriuretic Peptide (BNP)
- Brineura (cerliponase alfa)
- Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions
- Clinical Trials
- Continuous Passive Motion (CPM) in the Home Setting
- Coronary Artery Calcium Scoring by: Electron-Beam Tomography (EBCT) OR Non-Contrast Coronary Computed Tomography (Non-contrast CCT)
- Cryoablation, Radiofrequency Ablation and Laser Ablation for Treatment of Chronic Rhinitis
- Cryosurgical Ablation of Primary or Metastatic Liver Tumors
- Dermatologic Applications of Photodynamic Therapy
- Diagnosis and Management of Idiopathic Environmental Intolerance (i.e., Clinical Ecology)
- Diagnostic Testing of Iron Homeostasis & Metabolism
- Donor Lymphocyte Infusion for Malignancies Treated With an Allogeneic Hematopoietic Cell Transplant
- efgartigimod alfa -Vyvgart™
- Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)
- Enhanced External Counterpulsation (EECP)
- Erythopoiesis Stimulating Agents and Darbepoetin Alfa (Aranesp)
- Extracranial Carotid Angioplasty/Stenting
- Gas Permeable Scleral Contact Lens
- Gender Affirmation Surgery and Hormone Therapy
- Gene Expression Profiling and Protein Biomarkers for Prostate Cancer
- General Genetic Testing, Germline Disorders
- Genetic Testing for CHARGE Syndrome
- Genetic Testing for Duchenne, Becker, Facioscapulohumeral, and Limb-Girdle Muscular Dystrophies
- Genetic Testing for Fanconi Anemia
- Genetic Testing for FMR1 Mutations (including Fragile X Syndrome)
- Genetic Testing for Germline Mutations of the RET Proto-Oncogene
- Genetic Testing for Hereditary Hemochromatosis
- Genetic Testing for Lipoprotein A Variant as a Decision Aid for Aspirin Treatment and/or CVD Risk Assessment
- Genetic Testing for Neurofibromatosis and Related Disorders
- Genetic Testing of CADASIL Syndrome
- Genetic Testing of Mitochondrial Disorders
- Golimumab (Simponi) for subcutaneous use
- Heart/Lung Transplant
- Hematopoietic Stem-Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS Syndrome
- Hemoglobin A1C
- Hereditary Angioedema Drug Therapy
- Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies
- Hypothermia to Prevent/Reduce Hair Loss During Chemotherapy
- Implantable Infusion Pump for Pain and Spasticity
- Implantation of Intrastromal Corneal Ring Segments
- Incapacitated Dependent Coverage
- Injectable Clostridial Collagenase for Fibroproliferative Disorders
- Interferential Current Stimulation
- Intra-Articular Hyaluronan Injections for Osteoarthritis
- Intraoperative Neurophysiologic Monitoring
- Intravitreal Angiogenesis Inhibitors for Choroidal Vascular Conditions
- Intravitreal Angiogenesis Inhibitors for Retinal Vascular Conditions
- Intravitreal Corticosteroid Implants
- Iontophoresis and Phonophoresis
- Keratoprosthesis
- Knee Braces, Orthopaedic Casts, Splints
- Laboratory Guideline Policy
- Laboratory/Pathology Services
- Laser-Assisted Tonsillectomy
- Magnetoencephalography/Magnetic Source Imaging
- Medical Policy Development and Review
- Microsatellite Instability and Tumor Mutational Burden Testing
- Neural Therapy
- Octreotide Acetate (Sandostatin)
- Outpatient Pulmonary Rehabilitation
- Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome
- Patient-Controlled Analgesia
- Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders
- Percutaneous Tibial Nerve Stimulation
- Pharmacogenetic Testing
- Positron Emission Mammography (PEM)
- Pre-implantation Genetic Testing
- Prenatal Testing for Fetal Aneuploidy
- Preventive Services for Non-Grandfathered (PPACA) Plans: USPSTF recommended services
- Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia
- Quantose Impaired Glucose Tolerance (IGT) Test
- Radiation Oncology Services
- Ramucirumab (Cyramza®)
- Repository Corticotropin Injection
- Siltuximab (Sylvant)
- SPECT/CT Fusion Imaging
- Speech Therapy
- Spinal Cord and Dorsal Root Ganglion Stimulation
- Surgical and Minimally Invasive Treatments for Urinary Outlet Obstruction Due to Benign Prostatic Hyperplasia (BPH)
- Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dysmenorrhea
- Telemedicine
- Testing for Autism Spectrum Disorder and Developmental Delay
- Testing of Homocysteine Metabolism-Related Conditions
- Testosterone
- Thoracic-Lumbo-Sacral Orthosis With Pneumatics
- Thyroid Disease Testing
- Transanal Radiofrequency Treatment of Fecal Incontinence
- Transcatheter Pulmonary Valve Implantation
- Trastuzumab
- Treatment of Varicose Veins/Venous Insufficiency
- Ultrafiltration in Decompensated Heart Failure
- Vitamin D Testing
- Women’s Preventive Services
- Zika Virus Risk Assessment
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
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