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Blue Shield California Medical Policy Updates – April 2018

Click here to view the Blue Shield California Medical Policy Updates »

March 2018 Medical Policy Updates:

  • Bariatric Surgery
  • Biofeedback as a Treatment of Urinary Incontinence in Adults
  • Chelation Therapy for Off-Label Uses
  • Chronic Intermittent Intravenous Insulin Therapy
  • Cleft Palate – Dental Related Services
  • Cochlear Implant
  • Dynamic Posturography
  • Elective Revascularization Utilizing Percutaneous Coronary Intervention for Non-Acute, Stable Coronary Artery Disease
  • Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis
  • Gastric Electrical Stimulation
  • Gender Reassignment Surgery
  • Gene Expression Profiling for Uveal Melanoma
  • Genetic Testing for Alpha Thalassemia
  • Genetic Testing for CHARGE Syndrome
  • Genetic Testing for Dilated Cardiomyopathy
  • Genetic Testing for Epilepsy
  • Genetic Testing for Facioscapulohumeral Muscular Dystrophy
  • Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome (BRCA1 or BRCA2)
  • Genetic Testing for Hereditary Pancreatitis
  • Genetic Testing for Marfan Syndrome, Thoracic Aortic Aneurysms and Dissections, and Related Disorders
  • Genetic Testing for PTEN Hamartoma Tumor Syndrome
  • Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery
  • Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia
  • Hematopoietic Cell Transplantation for Hodgkin Lymphoma
  • Hematopoietic Cell Transplantation for Solid Tumors of Childhood
  • Hematopoietic Cell Transplantation for Waldenström Macroglobulinemia
  • Hematopoietic Cell Transplantation in the Treatment of Germ Cell Tumors
  • Hysterectomy Surgery for Benign Conditions
  • Implantable Bone-Conduction and Bone-Anchored Hearing Aids
  • Implantable Infusion Pump for Pain and Spasticity
  • Implantable Sinus Stents for Postoperative Use Following Endoscopic Sinus Surgery and for Recurrent Sinus Disease
  • Lifestyle Modification Program for Reversing Heart Disease
  • Negative Pressure Wound Therapy in the Outpatient Setting
  • Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease
  • Reduction Mammaplasty for Breast-Related Symptoms
  • Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
  • Stem Cell Therapy for Peripheral Arterial Disease
  • Surgery for Groin Pain in Athletes
  • Surgical Deactivation of Headache Trigger Sites
  • Surgical Treatment of Bilateral Gynecomastia
  • Surgical Ventricular Restoration
  • Temporomandibular Joint Disorder
  • Transmyocardial Revascularization
  • Transtympanic Micropressure Applications as a Treatment of Meniere Disease
  • Treatment of Tinnitus
  • Vagus Nerve Blocking Therapy for Treatment of Obesity
  • Vestibular Function Testing


Click here to view the Blue Shield California Medical Policy Updates »


Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

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