Geisinger Health Plan Medical Policy Updates – May 2018

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May 2018 Medical Policy Updates:

• MP033 Varicose Vein Therapy – REVISED – (Added Indication; Removed Exclusion)
• MP165 Treatment of Vestibular Disorders REVISED – (Added Exclusion)
• MP233 Injectable Blood Products for Orthopedic Conditions – REVISED – (Modified Title; Added Exclusion)
• MP217 Polysomnography and Sleep Studies – REVISED – (Removed Exclusion)
• MP265 Proteomic Serum Analysis – REVISED – (clarified Medicare Business Segment)
• MP273 Gene-based Testing and/or Protein Biomarkers for Diagnosis and Management of Prostate Cancer – REVISED – (Title change)

The following policies have been reviewed with no change to the policy section. Additional references or background information was added to support the current policy:

• MP037 Home Phlebotomy Program
• MP039 Home Uterine Monitoring
• MP044 Aquatic Therapy
• MP046 Progressive Stretch Devices
• MP062 TMLR
• MP076 HH/DME Hyperbilirubinemia
• MP081 Chelation Therapy
• MP097 Genetic Testing for BRCA
• MP127 Prolotherapy
• MP133 Meniscal Allograft
• MP198 Pulse Oximetry for Pediatric Home Use
• MP212 Non-Contact low-frequency Ultrasound Management (MIST Therapy)
• MP263 Minimally Invasive Lumbar Decompression (MILD)
• MP293 Intrathecal Infusion Pump
• MP315 Esophageal Sphincter Augmentation

Click here to view the Geisinger Health Plan Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

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