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BCBS Wellmark Medical Policy Updates – December 2022
Click here to view the Blue Cross Blue Shield BCBS Wellmark Medical Policy Updates »
December 2022 BCBS Wellmark Medical Policy Updates:
- Ambulatory Cardiac Event Monitoring and Real-time Outpatient Cardiac Telemetry
- Ambulatory Esophageal pH Monitoring
- Amniotic Membrane and Amniotic Fluid Grafts
- Anesthesia Services for Gastrointestinal (GI) Endoscopy Procedures
- Artificial Intervertebral Disc
- Balloon Ostial Dilation (BOD)/Balloon Sinuplasty for the Treatment of Chronic and Recurrent Rhinosinusitis as a Stand-Alone Procedure or as an Adjunctive Procedure to Functional Endoscopic Sinus Surgery (FESS)
- Bio-Engineered Skin and Soft Tissue Substitutes
- Biomarker Testing for Barrett’s Esophagus and Other Esophageal Disorders
- Carvykti (Ciltacabtagene Autoleucel)
- Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsies)
- Cochlear Implant Replacement
- Cognitive Rehabilitation
- Confocal Laser Endomicrsocopy
- Corneal Cross-Linking
- Cryoablation Radiofrequency Ablation and Laser Ablation for the Treatment of Chronic-Rhinitis
- Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems
- Donor Lymphocyte Infusion (DLI) and Hematopoietic Progenitor Cell (HPC) Boost
- Drug Testing in Pain Management and Substance Use Disorder Treatment
- Dry Needling
- Electrical Stimulation for the Treatment of Muscle Rehabilitation, Pain and Miscellaneous Conditions
- Expanded Genetic Panels to Identify Targeted Cancer Therapy
- External Upper Limb Stimulation for the Treatment of Tremors
- Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
- Gastric Electrical Stimulation
- Gene Expression Profiling for the Management of Breast Cancer
- Gene Expression Profiling for Uveal Melanoma
- Genetic Testing for Acute Myeloid Leukemia (AML)
- Genetic Testing for Familial Cutaneous Malignant Melanoma
- Genetic Testing in Myeloproliferative Disease
- Heart-Lung Transplant
- Hereditary Cancer Syndrome Multigene Panels Using Messenger RNA (mRNA)
- High Cost Naloxone Injectables
- Humanitarian Use Devices
- Implantable Bone Conduction Hearing Devices
- Implantable Peripheral Nerve Stimulation for the Treatment of Chronic Pain
- KRAS/NRAS and BRAF Mutation Analysis
- Kymriah (Tisagenlecleucel)
- Laparoscopic, Percutaneous and Transcervical Techniques for Uterine Fibroid Myolysis
- Leadless Cardiac Pacemaker
- Low-level Laser and High-Power Laser Therapy
- Lung and Lobar Lung Transplant
- Miscellaneous Bariatric Procedures
- Miscellaneous Surgical Treatments of Back Pain
- Molecular Analysis for Targeted Therapy of Non-Small Cell Lung Cancer
- Molecular Markers in Fine Needle Aspirates of the Thyroid
- Molecular Testing in the Management of Pulmonary Nodules
- Nasal Implants for Nasal Vestibular Lateral Wall Stenosis or Collapse
- Non-Invasive Glucose Monitoring Devices
- Non-Powered Negative Pressure Wound Therapy
- Osteochondral Allografts and Autografts
- Pancreas Transplants (Including Simultaneous Pancreas-Kidney, Pancreas alone, and Pancreas after Kidney)
- Pancreatic Islet Cell Transplant
- Percutaneous Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
- Percutaneous Ultrasonic Ablation of Soft Tissue
- Peripheral Subcutaneous Field Stimulation (PSFS)
- Pharmacogenomic and Pharmacogenetic Testing for Drug Metabolism Status – Non-Cancer Indications
- Platelet-Rich Plasma for the Treatment of NonOrthopedic Indications
- Pneumatic Compression Devices in the Home Setting
- Prolotherapy
- Proteomic Testing for Systemic Therapy in Non-Small Cell Lung Cancer
- Radiofrequency Ablation and Alternative Ablative/Denervation Methods for Chronic Facet Joint Mediated Neck, Back and Sacroiliac Joint Pain
- Radium Ra 223 Dichloride (Xofigo)
- Saliva Hormone Tests
- Serum Tumor Markers in the Management of Malignancies
- Small Bowel Transplant
- Small Bowel/Liver and Multivisceral Transplant
- Spinal Cord and Dorsal Root Ganglion Stimulation
- Steroid – Eluting Sinus Stents and Implants
- Surgical Treatment of Lymphedema
- Tecartus (Brexucabtagene Autoleucel)
- Testing in the Diagnosis and Management of Inflammatory Bowel Disease (IBD)
- Transcranial Magnetic Stimulation
- Treatment for Gastroesophageal Reflux Disease (GERD)
- Treatment of Barrett’s Esophagus
- Tumor Treatment Fields Therapy
- Urinary Incontinence/ Voiding Dysfunction Treatments and Devices
- Vagus Nerve Stimulation (VNS) and Vagal Blocking Therapy
- Vertebral Augmentation
- Vision Therapy/Orthoptic Training
- Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders
- Yescarta (Axicabtagene Ciloleucel)
Click here to view the Blue Cross Blue Shield BCBS Wellmark Medical Policy Updates »
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