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HCSC Medical Policy Updates – June 2018
Click here to view the Health Care Service Corporation Medical Policy Updates »
Health Care Service Corporation (HCSC – BCBS IL, TX, OK, NM, MT)
June 2018 Medical Policy Updates:
- MED205.039 Sphenopalatine Ganglion Block for Headaches or Facial Pain
- PSY301.018 Biofeedback as a Treatment of Chronic Pain
- RAD601.041 Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation
- RAD602.019 Elastography
- RX501.066 Soliris (eculizumab)
- RX501.098 Voretigene Neparvovec (Luxturna)
- RX502.041 Necitumumab (Portrazza)
Added 6/25/2018;
- DME101.047 Pulse Oximeter for Home Use
- MED201.022 In-Vivo Analysis of Colorectal Polyps
- MED201.025 Temporary Prostatic Stent
- MED201.027 Electrostimulation and Electromagnetic Therapy for the Treatment of Chronic Wounds
- MED201.030 Sexual Dysfunctions, Assessment and Treatment
- MED201.042 Electrical Stimulation for the Treatment of Arthritis
- MED202.052 Transcoronary Ablation of Septal Hypertrophy (TASH)
- MED205.031 Electrical Impedance Scanning (EIS) of the Breast
- MED205.036 Peripheral Subcutaneous Field Stimulation
- MED207.088 Intracellular Micronutrient Analysis
- OTH903.022 Ophthalmologic Techniques For Evaluating Glaucoma
- OTH903.024 Intravitreal Corticosteroid Implants
- OTH903.028 Corneal Collagen Cross-Linking
- OTH903.029 Endothelial Keratoplasty
- OTH903.030 Keratoprosthesis
- PSY301.000 Mental Health Services
- PSY301.016 Biofeedback as a Treatment of Urinary Incontinence
- PSY301.018 Biofeedback as a Treatment of Chronic Pain
- RX501.057 Sodium Phenylbutyrate
- RX501.086 Nusinersen (Spinraza)
- RX501.087 FDA-Approved Drugs and Biologicals
- RX502.030 Rituxan (Rituximab)
- RX502.040 Kyprolis (carfilzomib)
- RX502.047 Obinutuzumab (Gazyva)
- SUR701.036 Implanted Adjustable Continence Therapy
- SUR701.037 Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery
- SUR702.017 Facet Joint and Sacroiliac Joint Denervation
- SUR703.038 Hematopoietic Stem-Cell Transplantation for Breast Cancer
- SUR703.042 Hematopoietic Stem-Cell Transplantation for Malignant Astrocytomas and Gliomas
- SUR703.043 Hematopoietic Stem-Cell Transplantation for Acute Lymphoblastic Leukemia (ALL)
- SUR703.044 Hematopoietic Stem-Cell Transplantation for Solid Tumors in Children
- SUR703.047 Hematopoietic Stem-Cell Transplantation for Acquired Immunodeficiency Syndrome (AIDS)
- SUR703.054 Non-Invasive Tests for Heart Transplant Rejection
- SUR705.030 Orthognathic Surgery
- SUR705.036 Surgery for Groin Pain in Athletes
- SUR705.037 Patient-Specific Cutting Guides and Custom Knee Implants
- SUR709.031 Gastric Electrical Stimulation (GES)
- SUR710.020 Extracorporeal Shock Wave Therapy in the Treatment of Peyronies Disease
- SUR712.004 Automated Percutaneous Discectomy and Percutaneous Endoscopic Discectomy
- SUR712.025 Deep Brain Stimulation (DBS)
- SUR712.035 Image-Guided Minimally Invasive Decompression for Spinal Stenosis
- SUR713.032 Viscocanalostomy and Canaloplasty
- SUR714.008 Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
- SUR714.009 Auditory Brainstem Implant
- SUR716.017 Surgical Treatment of Gynecomastia
- SUR716.021 Adipose-Derived Stem-Cells in Autologous Fat Grafting to the Breast
- THE803.012 Work Hardening
- THE803.016 Manipulation Under Anesthesia
- THE803.021 Non-Surgical Spinal Decompression Traction Devices
- THE803.025 Pulmonary Rehabilitation
Click here to view the Health Care Service Corporation Medical Policy Updates »
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