Cigna Medical Policy & Pharmacy Updates – May 2018

Click here to view the Cigna Medical Policy Updates »

May 2018 Medical Policy & Pharmacy Policy Updates:

• *Facility Routine Services, Supplies and Equipment (R12)
• *Pharmacy and Infusion Services (R14)
• Laser Interstitial Thermal Therapy – (0528)
• Cognitive Rehabilitation – (0124)
• Mechanical Devices for the Treatment of Back Pain – (0140)
• Negative Pressure Wound Therapy/Vacuum-Assisted Closure (VAC) for Non-Healing Wounds – (0064)
• Phototherapy, Photochemotherapy, and Excimer Laser Therapy for Dermatologic Conditions – (0031)
• Home Traction Devices: Cervical and Lumbar – (0265) Archived
• Home Traction Devices – Cervical and Lumbar – (CPG 265)
• Low-Level Laser Therapy – (0115) Archived
• Low-Level Laser and High-Power Laser Therapy – (CPG 030)
• Acupuncture – (0024) Archived
• Acupuncture – (CPG 024)
• Axial/Spinal Decompression Therapy/Mechanical Traction (Provided in a Clinic Setting) – (CPG 275)
• Triamcinolone Acetonide Extended-Release Injection (Zilretta) – (1811)
• Voretigene neparvovec – (1809)
• Afrezza – (1506)
• Canakinumab – (1110)
• Compounded Medications – (1406)
• Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review – Employer Group Plans: Standard Prescription Drug List and Performance Prescription Drug List – (1601)
• Drugs / Biologics Not Covered Unless Approved Under Medical Necessity Review – Employer Group Plans: Value Prescription Drug List and Advantage Prescription Drug List – (1602)
• Edaravone – (1806)
• Eteplirsen – (1702)
• Multiple Sclerosis Therapy – (1402)
• Oxazolidinone Antibiotics – (1123)
• Pharmacy Prior Authorization – (1407)
• Step Therapy – (1109)
• Modifier 62, 66, 80, 81, 82 and AS – Assistant Surgeon, Assistant at Surgery, Co-Surgeon (Two Surgeons) and Surgical Team

Click here to view the Cigna Medical Policy Updates »

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