Click here to view the Premera Blue Cross Medical Policy Updates » December 2024 Medical…
BCBS South Carolina Medical Policy Updates – February 2024
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
February 2024 BCBS South Carolina Medical Policy Updates:
- Preventive Services for Non-Grandfathered (PPACA) Plans: Immunizations
- Artificial Pancreas Device Systems
- Clinical Trials
- Genetic Testing for FMR1 Mutations (including Fragile X Syndrome)
- Erythopoiesis Stimulating Agents and Darbepoetin Alfa (Aranesp)
- Autonomic Nervous System Testing
- Bevacizumab (Avastin) for Oncologic Use
- Ultrafiltration in Decompensated Heart Failure
- Biofeedback as a Treatment of Urinary Incontinence in Adults
- Bronchial Thermoplasty
- Bone Mineral Density Studies
- Chemotherapy Drugs and the Administration by Physicians for the Treatment of Cancer
- Computer-Assisted Navigation for Orthopedic Procedure
- Dynamic Spinal Visualization and Vertebral Motion Analysis
- Extracorporeal Membrane Oxygenation for Adult Conditions
- Crizanlizumab-tmca (Adakveo)
- Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia
- Maternity/Obstetrical Care Benefits
- Miscellaneous (Noncardiac, Nononcologic) Applications of Fluorine 18 Fluorodeoxyglucose Positron Emission Tomography
- Neurofeedback
- Non-Pharmacologic Treatment of Rosacea
- Patient-Controlled End of Range Motion Stretching Devices
- PARSABIV™ (etelcalcetide)
- Repository Corticotropin Injection
- Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Thermography
- Whole Body Dual X-ray Absorptiometry (DEXA) to Determine Body Composition
- Vertebral Fracture Assessment with Densitometry
- Intravitreal Angiogenesis Inhibitors for Retinal Vascular Conditions
- Medical Management of Obstructive Sleep Apnea Syndrome
- Reduction Mammaplasty for Breast-Related Symptoms
- Intra-Articular Hyaluronan Injections for Osteoarthritis
- Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy
- Teprotumumab-trbw (TEPEZZA™)
- Absorbable Nasal Implant for Treatment of Nasal Valve Collapse
- Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
- Diagnosis and Non Surgical Treatment of Sacroiliac Joint Pain
- Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease
- Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure
- Evenity (romosozumab-aqqg)
- Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry
- Coronary Artery Calcium Scoring by: Electron-Beam Tomography (EBCT) OR Non-Contrast Coronary Computed Tomography (Non-contrast CCT)
- Hypothermia to Prevent/Reduce Hair Loss During Chemotherapy
- Immune Globulin Therapy
- Medical Policy Development and Review
- Genetic Testing for Germline Mutations of the RET Proto-Oncogene
- Percutaneous Tibial Nerve Stimulation
- Vyjuvek (beremagene geperpavec)
- Leqembi™ (lecanemab-irmb)
- Roctavian® (valoctocogene roxaparvovec-rvox)
- Lumasiran (Oxlumo)
- Pharyngometry and Rhinometry
- Givosiran (Givlaari)
- Low-Dose CT for Lung Cancer Screening
- Diagnosis of Vaginitis
- Diagnostic Testing of Iron Homeostasis and Metabolism
- Zolgensma® (Onasemnogene Abeparvovec-Xioi)
- Vitamin D Testing
- Vitamin B12 and Methylmalonic Acid Testing
- Treatment of Varicose Veins/Venous Insufficiency
- Treatment of Chest Wall Deformities (Congenital or Acquired)
- Transcatheter Pulmonary Valve Implantation
- Testosterone
- Testing of Homocysteine Metabolism-Related Conditions
- Testing for Autism Spectrum Disorder and Developmental Delay
- Telemedicine
- Telehealth
- Spinal Cord and Dorsal Root Ganglion Stimulation
- SPECT/CT Fusion Imaging
- Somatostatin Analogs
- Serum Tumor Markers for Malignancies
- Siltuximab (Sylvant)
- Ramucirumab (Cyramza®)
- Radiation Oncology Services
- Preventive Services for Non-Grandfathered (PPACA) Plans: USPSTF recommended services
- Prenatal Testing for Fetal Aneuploidy
- Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia
- Positron Emission Mammography (PEM)
- Pharmacologic Treatment of Hereditary Transthyretin-Mediated Amyloidosis (Onpattro™/Tegsedi™/Amvuttra™)
- Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders
- Patient-Controlled Analgesia
- Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome
- Outpatient Pulmonary Rehabilitation
- Negative Pressure Wound Therapy in the Outpatient Setting
- Neural Therapy
- Molecular Testing for Cutaneous Melanoma
- Magnetoencephalography/Magnetic Source Imaging
- Laboratory/Pathology Services
- Keratoprosthesis
- Iontophoresis and Phonophoresis
- Intravitreal Angiogenesis Inhibitors for Choroidal Vascular Conditions
- Intraoperative Radiotherapy
- Intraoperative Neurophysiologic Monitoring
- Interferential Current Stimulation
- Injectable Clostridial Collagenase for Fibroproliferative Disorders
- Ingestible pH and Pressure Capsule
- Incapacitated Dependent Coverage
- Implantation of Intrastromal Corneal Ring Segments
- Implantable Infusion Pump for Pain and Spasticity
- Hereditary Angioedema Drug Therapy
- Hepatitis Testing
- Hematopoietic Stem-Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS Syndrome
- Hemgenix® (Etranacogene Dezaparvovec-Drlb)
- Heart/Lung Transplant
- Golimumab (Simponi) for subcutaneous use
- Genetic Testing of Mitochondrial Disorders
- Genetic Testing for Rett Syndrome
- Genetic Testing of CADASIL Syndrome
- Genetic Testing for PTEN Hamartoma Tumor Syndrome
- Genetic Testing for Lipoprotein A Variant as a Decision Aid for Aspirin Treatment and/or CVD Risk Assessment
- Genetic Testing for Hereditary Hemochromatosis
- Genetic Testing for Fanconi Anemia
- Genetic Testing for Duchenne, Becker, Facioscapulohumeral, and Limb-Girdle Muscular Dystrophies
- Genetic Testing for CHARGE Syndrome
- Gene Expression Profiling and Protein Biomarkers for Prostate Cancer
- Gender Affirmation Surgery and Hormone Therapy
- Gas Permeable Scleral Contact Lens
- Extracranial Carotid Angioplasty/Stenting
- Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)
- Donor Lymphocyte Infusion for Malignancies Treated With an Allogeneic Hematopoietic Cell Transplant
- Dermatologic Applications of Photodynamic Therapy
- Diabetes Mellitus Testing
- Cryosurgical Ablation of Primary or Metastatic Liver Tumors
- Coronavirus Testing in the Outpatient Setting
- Continuous Passive Motion (CPM) in the Home Setting
- Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions
- Brineura (cerliponase alfa)
- Blinatumomab (Blincyto)
- Bariatric Surgery
- Belinostat (Beleodaq)
- Betibeglogene autotemcel (Zynteglo®) (Intravenous)
- Women’s Preventive Services
- Transplant Rejection Testing
- Proteogenomic Testing of Individuals With Cancer
- Microsatellite Instability and Tumor Mutational Burden Testing
- Knee Braces, Orthopaedic Casts, Splints
- Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies
- Cryoablation, Radiofrequency Ablation and Laser Ablation for Treatment of Chronic Rhinitis
Click here to view the Blue Cross Blue Shield BCBS South Carolina Medical Policy Updates »
How Does Policy Alerts Work?
Policy Alerts’ medical policy monitoring and alerts software continuously monitors Commercial, Medicare, and Medicaid coverage information to keep you up-to-date on coverage changes in real-time.
Policy Alerts’ software locates relevant Payer medical policies and coverage information from across the web. This software monitors that information for updates and changes while also searching for new medical policies and coverage information. Whenever changes occur, Policy Alerts immediately sends out an email notification containing a summary of what has changed.
Clients can access their medical policies and payer coverage summary on the interactive Policy Alerts dashboard. Never miss another important insurance carrier medical policy review or coverage decision update again!
✓ Thousands of subscribers ✓ Easy setup
Related Posts
