Click here to view the United Healthcare (UHC) Medical Policy Updates » December 2024 United…
HCSC Medical Policy Updates – July 2018
Click here to view the Health Care Service Corporation Medical Policy Updates »
Health Care Service Corporation (HCSC – BCBS IL, TX, OK, NM, MT)
July 2018 Medical Policy Updates:
- ADM1001.005 Ambulance and Medical Transport Services
- DME101.043 Transtympanic Micropressure Applications as a Treatment of Meniere Disease
- DME101.044 Ultrasound Wound Therapy
- DME103.008 Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
- MED203.010 Melanoma Vaccines
- MED205.026 Dynamic Posturography
- PSY301.007 Biofeedback for Miscellaneous Indications
- RAD601.045 Whole Body Composition Analysis using Dual X-Ray Absorptiometry (DXA) or Bioelectrical Impedance Analysis (BIA)
- RAD601.071 Pulse-Echo Ultrasound Bone Density Measurement
- RX501.082 Treatment of Opioid Dependence
- RX501.097 Copanlisib (Aliqopa)
- SUR701.014 Endoscopic, Arthroscopic, Laparoscopic, and Thoracoscopic Surgery
- SUR701.021 Radiofrequency Ablation (RFA) of Solid Tumors, Excluding Liver
- SUR703.039 Hematopoietic Stem-Cell Transplantation for Central Nervous System Embryonal Tumors and Ependymoma
- SUR709.029 Radiofrequency Ablation (RFA) of Primary or Metastatic Liver Tumors
- SUR713.031 Implantation of Intrastromal Corneal Ring Segments
- SUR716.018 Chemical Peels
- THE803.010 Physical Therapy (PT) and Occupational Therapy (OT) Services
Added 7/16/2018;
- ADM1001.028 Inside the U.S. Food and Drug Administration (FDA)
- DME101.010 Wheelchairs and Accessories
- DME101.023 Continuous Passive Motion (CPM) Device
- DME103.002 Knee Braces
- DME104.009 Speech Generating Devices (SGD)
- MED201.023 Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
- MED201.033 Functional Neuromuscular Electrical Stimulation (FNMES)
- MED202.070 Non-Invasive Measurement of Central Blood Pressure (cBP)
- MED205.009 Topographic Brain Mapping (Quantitative Electroencephalography)
- MED205.020 Intravenous or Subcutaneous Histamine Therapy
- OTH903.016 Transpupillary Thermotherapy (TTT)
- OTH903.017 Photocoagulation of Macular Drusen
- OTH903.021 Optical Coherence Tomography of the Anterior Eye Segment
- OTH903.025 Eyelid Thermal Pulsation Therapy
- OTH903.031 Corneal Hysteresis
- RX501.007 Hormone Replacement Therapies (HRT) Using Implanted Pellets for Women and Delayed Puberty
- RX501.040 Human Growth Hormone (GH)
- RX501.051 Biologic Response Modifiers (BRMs) for the Treatment of Rheumatoid Arthritis (RA) and Other Chronic Inflammatory Diseases
- RX501.080 Mepolizumab (Nucala)
- RX501.090 Sustol (Granisetron) Extended Release Injection
- RX501.091 Interferon alfa-N3 (Alferon N Injection)
- RX501.095 Edaravone (Radicava)
- RX504.015 Levodopa-Carbidopa Enteral Suspension (e.g. Duopa) for The Treatment of Parkinson Disease.
- SUR701.020 Microwave Thermotherapy for Primary Breast Cancer
- SUR703.040 Hematopoietic Stem-Cell Transplantation for Hodgkin Lymphoma (HL)
- SUR703.041 Hematopoietic Stem-Cell Transplantation for Chronic Myelogenous Leukemia (CML)
- SUR703.050 Hematopoietic Stem-Cell Transplantation for Waldenström Macroglobulinemia
- SUR705.019 Hip Resurfacing (HR)
- SUR705.020 Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
- SUR705.023 Computer-Assisted Navigation for Orthopedic Procedures
- SUR705.027 Subtalar Arthroereisis (STA)
- SUR705.035 Autologous Chondrocyte Implantation (ACI) for Focal Articular Cartilage Lesions
- SUR709.032 Plugs for Fistula Repair
- SUR710.018 Sacral Nerve Neuromodulation/Stimulation
- SUR712.033 Occipital Nerve Stimulation
- SUR713.001 Refractive and Therapeutic Keratoplasty
- SUR713.023 Phototherapeutic Keratectomy
- SUR713.035 Drug-Eluding Intracanalicular Punctal Plugs and Ocular Inserts
- THE803.020 Sensory Integration Therapy and Auditory Integration Therapy
- THE803.022 Hippotherapy
Click here to view the Health Care Service Corporation Medical Policy Updates »
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