CareFirst BCBS Medical Policy Updates – January 2023

Click here to view the CareFirst BCBS Blue Cross Blue Shield Medical Policy Updates »

January 2023 CareFirst BCBS Medical Policy Updates:

• Acupuncture
• ARCHIVED Helmets
• ARCHIVED H-Wave Electrical Stimulation Devices for Home Use
• ARCHIVED Whole Body Computed Tomography Scan as a Screening Test
• Assisted Reproductive Technology (ART) Artificial Insemination (AI)   Intrauterine Insemination (IUI)
• Assisted Reproductive Technology (ART) Procedures In Vitro Fertilization (IVF) Gamete Intrafallopian Transfer (GIFT) Zygote Intrafallopian Transfer (ZIFT)
• Automatic Implantable Cardioverter Defibrillator (AICD)
• Cardiac Computed Tomography (CT) and Coronary CT Angiography (CTA)
• Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
• Diagnostic Eye Procedures with Companion Table
• Durable Medical Equipment with Attached Table
• Electroconvulsive Therapy
• Emergency Services Auto Codes
• Global Maternity Care
• Habilitative Services (MD and DC Mandates)
• High Dose Chemotherapy   Radiation Therapy with Allogeneic Stem Cell Support
• Home Apnea Monitoring for Infants
• Human Papillomavirus (HPV) Recombinant Vaccines
• Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea
• Implantable Hormone Replacement Pellets
• Intraoperative Neurophysiologic Monitoring
• Lutetium vivopitide tetraxetan (Pluvicto)
• Mifepristone (eg Mifeprex RU 486)
• Occupational Therapy
• Oral-Facial Trauma  Accidental Injury
• Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders
• Percutaneous Intervertebral Thermal Annuloplasty Procedures for Low Back Pain
• Prosthetics
• Quantitative Electroencephalogram   Topographic Brain Mapping
• Shoulder Resurfacing Arthroplasty
• Therapeutic Apheresis
• Transcranial Magnetic Stimulation for Treatment of Depression and Other Psychiatric   Neurologic Disorders
• Vascular Angioscopy
• Vertebral Disc Replacement   Lumbar Disc Prosthesis
• Waterjet Tissue Ablation of the Prostate
• Wireless Capsule Endoscopy (Enteral Camera)

Click here to view the CareFirst Blue Cross Blue Shield 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.