BCBS South Carolina Medical Policy Updates – September 2018

Click here to view the Blue Cross Blue Shield South Carolina Medical Policy Updates »

September 2018 BCBS South Carolina Medical Policy Updates:

• Ado-Trastuzumab Emtansine (Trastuzumab-DM1) for Treatment of HER-2 Positive Malignancies
• Endobronchial Valves
• Bevacizumab in Advanced Adenocarcinoma of the Pancreas
• Biofeedback as a Treatment of Headache
• Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DAT-SPECT)
• Endovascular Stent Grafts for Disorders of the Thoracic Aorta
• Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome
• Inhaled Nitric Oxide
• Intensity-Modulated Radiotherapy of the Breast and Lung
• Intensity-Modulated Radiotherapy of the Prostate
• Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
• Microprocessor-Controlled Prosthetic for the Lower Limb
• Molecular Analysis for Targeted Therapy of Non-Small-Cell Lung Cancer
• Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure
• Nutrient/Nutritional Panel Testing
• Occlusion of Uterine Arteries Using Transcatheter Embolization
• Paravertebral Facet Joint Injections/Blocks
• Percutaneous Electrical Nerve Stimulation (PENS) and Percutaneous Neuromodulation Therapy (PNT)
• Polysomnography for Non‒Respiratory Sleep Disorders
• Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis
• Toxicology
• Transcatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver Malignancies
• Ultrasonographic Measurement of Carotid Intimal-Medial Thickness as an Assessment of Subclinical Atherosclerosis

Added 9/21/2018;

• Alcohol Injections for Treatment of Peripheral Neuromas
• Allergy Immunotherapy
• Ambulance and Medical Transport Services
• Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening
• Back School
• Balloon Sinuplasty for Treatment of Chronic Sinusitis
• Baroreflex Stimulation Devices
• Biofeedback for Miscellaneous Indications
• Breast Pumps
• Breast Surgical Procedures/Prosthesis
• Buprenorphine Implant (Probuphine) and Extended-Release Injectable (Sublocade)
• Canalith Repositioning as a Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
• Chronic Intermittent Intravenous Insulin Therapy (CIIIT)
• Computerized 2-lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Disease
• Cutaneous Electrogastrography (EGG)
• Dynamic Cardiomyoplasty
• Electrical Impedance Scanning of the Breast
• Endometrial Ablation
• Extracorporeal Shock Wave Therapy in the Treatment of Peyronie’s Disease
• FDG Using Camera-Based Imaging (FDG-SPECT)
• Folate Testing
• Gastric Electrical Stimulation
• General Inflammation Testing
• Home Prothrombin Time Monitoring
• Immune Globulin Therapy
• Influenza Vaccine
• Intensity-Modulated Radiotherapy: Cancer of the Head and Neck or Thyroid
• Intensity-Modulated Radiotherapy: Central Nervous System Tumors
• Intra-Articular Hyaluronan Injections for Osteoarthritis
• Intradialytic Parenteral Nutrition
• Intraoperative Neurophysiologic Monitoring (sensory-evoked potentials, motor-evoked potentials, EEG monitoring)
• Ipilimumab (Yervoy)
• Lutetium Lu 177 Dotatate (Lutathera®)
• Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease (GERD)
• Medication Administration Site of Care
• Molecular Testing in the Management of Pulmonary Nodules
• Multianalyte Assays with Algorithmic Analyses for Predicting Risk of Type 2 Diabetes
• Natalizumab (Tysabri®)
• Neuromuscular Electrical Stimulation (NMES)
• Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non‒Orthopedic Conditions
• Repository Corticotropin Injection
• Sensory Stimulation for Coma Patients
• Surgical Guidelines (Secondary, Multiple Procedures, Co-Surgeons, Assistant Surgeons, Stand- By Physicians, Microsurgery/Microdissection)
• Temporomandibular Joint Dysfunction
• Transanal Endoscopic Microsurgery (TEMS)
• Transcoronary Ablation of Septal Hypertrophy (TASH)
• Urine Culture Testing for Bacteria
• Uses of Monoclonal Antibodies for the Treatment of Non-Hodgkin Lymphoma and Acute Myeloid Leukemia in the Nonhematopoietic Stem Cell Transplant Setting
• Vagal Nerve Blocking Therapy for Treatment of Obesity
• Videofluoroscopic Evaluation of Velopharyngeal Dysfunction
• ZOMETA (zoledronic acid)
• Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease
• Treatment of Uterine Fibroids

Click here to view the Blue Cross Blue Shield South Carolina Medical Policy Updates »

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