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Blue Cross Blue Shield Massachusetts August 2017 Medical Policy Updates

Click here to view the Blue Cross Blue Shield Massachusetts August 2017 Medical Policy Updates »

 

These are the most recent policy updates.

Table of Contents
NEW MEDICAL POLICIES:

  • None

Table of Contents
REVISED MEDICAL POLICIES:

  • Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
  • Bioengineered Skin and Soft Tissue Substitutes
  • Cardiac Rehabilitation in the Outpatient Setting
  • Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
  • Coronary Computed Tomography Angiography with Selective Noninvasive Fractional Flow Reserve
  • Genetic Testing of Mitochondrial Disorders
  • Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions
  • Routine Foot Care and Debridement of Nails
  • High Tech Radiology
  • Computed Tomography (CT) Lower Extremity
  • Computed Tomography (CT) Neck for Soft Tissue Evaluation
  • Computed Tomography (CT) Thoracic Spine
  • Computed Tomography (CT) Upper Extremity
  • CT Angiography (CTA) and MR Angiography (MRA) Pelvis
  • Magnetic Resonance Imaging (MRI) of the Lower Extremity Joint and Non-Joint prn.pdf
  • Magnetic Resonance Imaging (MRI) Orbit, Face & Neck (Soft Tissues)
  • Magnetic Resonance Imaging (MRI) Upper Extremity (Any Joint)

HIGH TECH RADIOLOGY

  • Radiology policies are being reviewed. Medically necessary guidelines will be revised. Effective November 20, 2017

SLEEP DISORDER

  • Sleep disorder management policies are being reviewed. Medically necessary guidelines will be revised. Effective November 20, 2017
Table of Contents
CLARIFICATIONS TO MEDICAL POLICIES:
  • Bronchial Valves
  • Computed Tomographic Angiography Coronary Arteries (CCTA)
  • Computed Tomography (CT) Cardiac (Structure)
  • Computed Tomography (CT) CT Colonography (Virtual Colonoscopy)
  • Magnetic Resonance Spectroscopy
  • MR Angiography (MRA) Spinal Canal
  • Positron Emission Tomography (PET) Myocardial Imaging
  • Positron Emission Tomography, Other PET Applications, Including Oncologic Tumor Imaging
  • Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer

 

Table of Contents
RETIRED MEDICAL POLICIES:
  • Hematopoietic Stem Cell Transplantation for Breast Cancer

 

 

Click here to view the Blue Cross Blue Shield Massachusetts August 2017 Medical Policy Updates »

 

 

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