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BCBS South Carolina Medical Policy Updates – July 2019
Click here to view the Blue Cross Blue Shield South Carolina Medical Policy Updates »
July 2019 BCBS South Carolina Medical Policy Updates:
- Abdominoplasty, Panniculectomy and Lipectomy
- Accelerated Breast Irradiation After Breast-Conserving Surgery for Early Stage Breast Cancer and Breast Brachytherapy as Boost with Whole Breast Irradiation
- Acoustic Cardiography
- Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses
- Advanced Therapies for Pharmacologic Treatment of Pulmonary Hypertension
- Alcohol Injections for Treatment of Peripheral Neuromas
- Allogeneic Hematopoietic Stem-Cell Transplantation for Genetic Diseases and Acquired Anemias
- Allogeneic Hematopoietic Stem-Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms
- Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry
- Auditory Brainstem Implant
- Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
- Autologous Hematopoietic Stem-Cell Transplantation for Malignant Astrocytomas and Gliomas
- Automated Ambulatory Blood Pressure Monitoring for the Diagnosis of Hypertension in Patients With Elevated Office Blood Pressure
- Automated Point-of-Care Nerve Conduction Tests
- Beta Amyloid Imaging with Positron Emission Tomography (PET) for Alzheimer’s Disease
- Blepharoplasty (Upper and Lower)
- Breast Pumps
- Buprenorphine Implant (Probuphine) and Extended-Release Injectable (Sublocade)
- Cardiac Applications of PET Scanning
- Catheter Ablation for Cardiac Arrhythmias
- Cellular Immunotherapy for Prostate Cancer
- Cervical Decompression and Fusion Procedures
- Chelation Therapy for Off-Label Uses
- Chiropractic Services
- Chromoendoscopy as an Adjunct to Colonoscopy
- Chromosomal Microarray Analysis
- Cimzia® (certolizumab pegol)
- Cochlear Implant
- Cognitive Rehabilitation
- Computed Tomography to Detect Coronary Artery Calcification
- Confocal Laser Endomicroscopy
- Conjunctival Incision with Posterior Juxtascleral Placement of Anecortave Acetate Depot Suspension
- Contraceptive Management
- Cooling Devices Used in the Outpatient Setting
- Corporate Administrative/Medical Policy Guidelines (Medical Necessity, Investigational/Experimental)
- Cosmetic/Reconstructive Services
- Decompression of the Intervertebral Disc Using Laser (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty™)
- Deep Brain Stimulation
- Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis
- Diagnosis of Vaginitis including Multitarget PCR Testing
- DNA Ploidy Cell Cycle Analysis
- DNA-Based Testing for Adolescent Idiopathic Scoliosis
- Drug Coverage
- Electrical Stimulation for the Treatment of Arthritis
- Electronic Brachytherapy for Nonmelanoma Skin Cancer
- Electrostimulation and Electromagnetic Therapy for the Treatment of Chronic Wounds
- Endobronchial Brachytherapy
- Endoscopic Laser for Gastrointestinal Bleeding
- Endoscopic Radiofrequency Ablation or Cryoablation for Barrett’s Esophagus
- Endovascular Stent Grafts for Abdominal Aortic Aneurysms
- Erectile Dysfunction
- Esophageal pH Monitoring
- Facet Arthroplasty
- Familial Adenomatous Polyposis and MUYTH-Associated Polyposis Testing
- Fecal Analysis in the Diagnosis of Intestinal Dysbiosis
- Fecal Microbiota Transplantation
- Focal Treatments for Prostate Cancer
- Gene Expression‒Based Assays for Cancers of Unknown Primary
- General Genetic Testing, Germline Disorders
- Genetic Testing for Alzheimer’s Disease
- Genetic Testing for Cardiac Ion Channelopathies
- Genetic Testing for Cystic Fibrosis
- Genetic Testing for Fanconi Anemia
- Genetic Testing for FMR1 mutations (including Fragile X Syndrome)
- Genetic Testing for Hereditary Breast and/or Ovarian Cancer Syndrome (BRCA1/BRCA2)
- Genetic Testing for Hereditary Hearing Loss
- Genetic Testing for Hereditary Pancreatitis
- Genetic Testing for Neurofibromatosis
- Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy
- Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies
- Heart Transplant
- Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
- Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
- Hematopoietic Colony-Stimulating Factors (CSFs)
- Hematopoietic Stem-Cell Transplantation for Acute Myeloid Leukemia
- Hematopoietic Stem-Cell Transplantation for Autoimmune Diseases
- Hematopoietic Stem-Cell Transplantation for Breast Cancer
- Hematopoietic Stem-Cell Transplantation for CNS Embryonal Tumors and Ependymoma
- Hematopoietic Stem-Cell Transplantation for Epithelial Ovarian Cancer
- Hematopoietic Stem-Cell Transplantation for Miscellaneous Solid Tumors in Adults
- Hepatitis C testing
- Hippotherapy
- Human Antihemophilic Factor (AHF)
- H-wave Electrical Stimulation
- Hypnosis
- Identification of Microorganisms Using Nucleic Acid Probes
- Inflectra™ (infliximab-dyyb)
- Infliximab
- Ingestible pH and Pressure Capsule
- Inpatient Rehabilitation
- Insulin Potentiation Therapy
- Interlukin 2 as a Treatment for HIV Infection
- Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
- Interspinous Fixation (Fusion) Devices
- Interventions for Progressive Scoliosis
- Intracoronary Doppler Ultrasound
- Intravascular Brachytherapy for Preventing and Managing Restenosis after Percutaneous Transluminal Angioplasty (PTA)
- Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease
- Isolated Small Bowel Transplant
- Knee Braces, Orthopaedic Casts, Splints
- Laser Treatment of Onychomycosis
- Light Therapy for Vitiligo and Alopecia Areata
- Local or Whole Body Hyperthermia
- Lung Volume Reduction Surgery for Severe Emphysema
- Magnetic Resonance‒Guided Focused Ultrasound
- Meniscal Allografts and Other Meniscal Implants
- Minimally Invasive Coronary Artery Bypass Graft Surgery
- Myoelectric Prosthesis Components for the Upper Limb
- Negative Pressure Wound Therapy in the Outpatient Setting
- Nerve Graft with Radical Prostatectomy
- Nivolumab (Opdivo)
- Occupational Therapy
- Orthognathic Surgery
- Orthopedic Applications of Platelet-Rich Plasma
- Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders
- Oxygen Therapy
- Pain Management Services (Chronic Pain and Rehabilitation Therapies)
- Pancreatic Enzyme Testing for Acute Pancreatitis
- Patient-Specific Cutting Guides and Custom Knee Implants
- Pertuzumab for Treatment of Malignancies
- PET Scanning in Oncology to Detect Early Response during Treatment
- Photocoagulation of Macular Drusen
- Physical Therapy
- Positional Magnetic Resonance Imaging (MRI)
- Pre-implantation Genetic Testing
- Prenatal Screening
- Preventive Services for Non-Grandfathered (PPACA) Plans: USPSTF recommended services
- Proteogenomic Testing for Patients With Cancer (GPS Cancer™ Test)
- Quantitative Sensory Testing
- Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
- Radiofrequency Ablation of Peripheral Nerves to Treat Pain
- Sacral Nerve Neuromodulation/Stimulation
- Scintimammography and Gamma Imaging of the Breast and Axilla
- Speech Therapy
- ST2 Assay for Chronic Heart Failure
- Sublingual Immunotherapy as a Technique of Allergen-Specific Therapy
- Suit Therapy
- Surgery for Athletic Pubalgia
- Surgical Treatment of Femoroacetabular Impingement
- Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome
- Surgical Ventricular Restoration
- Sympathetic Therapy for the Treatment of Pain
- TECENTRIQ™ (atezolizumab)
- Thermal Capsulorrhaphy as a Treatment of Joint Instability
- Three-Dimensional Printed Orthopedic Implants
- Total Parenteral Nutrition and Enteral Nutrition in the Home
- Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
- Trastuzumab
- Treatment of Hyperhidrosis
- Treatment of Tinnitus
- Treatment of Varicose Veins/Venous Insufficiency
- Tumor Treatment Fields Therapy for Glioblastoma
- T-Wave Alternans
- Ultrasonographic Evaluation of Skin Lesions
- Unicompartmental and Bicompartmental Knee Arthroplasties
- Use of Magnetic Resonance Imaging to Monitor Integrity of Silicone Gel-Filled Breast Implants
- ustekinumab (Stelara™)
- Vertical Expandable Prosthetic Titanium Rib
- Visual and Auditory Evoked Potentials
- Vitamin D Testing
- Whole Body Computed Tomography Scan as a Screening Test
- Wireless Pressure Sensors in Endovascular Aneurysm Repair
- ZOMETA (zoledronic acid)
Click here to view the Blue Cross Blue Shield South Carolina Medical Policy Updates »
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