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HCSC Medical Policy Updates – October 2018
Click here to view the Health Care Service Corporation Medical Policy Updates »
October 2018 Medical Policy Updates:
- Bioimpedance Devices for Detection of Lymphedema
- Brain Tissue Transplantation, Neurotransplantation for Treatment of Parkinsons Disease
- Cabazitaxel (Jevtana)
- Cardiac Contractility Modulation (CCM) Device
- Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
- Cardiac Restoration and Remodeling Procedures
- Computerized Wheeze Detection/Monitoring
- Constraint Induced Movement Therapy (CIMT)
- Dynamic Cardiomyoplasty
- Fetal Magnetocardiography (fMCG)
- Gastrointestinal (GI) Motility Measurement
- Gastrointestinal Panels
- Hematopoietic Stem-Cell Transplantation in the Treatment of Germ-Cell Tumors
- Hyperbaric Oxygen (HBO2) Therapy
- Hypnosis
- Kadcyla (ado-trastuzumab emtansine)
- Management of Hereditary Angioedema (HAE) with Cinryze or Kalbitor
- Meniscal Allografts and Other Meniscal Implants
- Natural Killer (NK) Cells
- Ocriplasmin for Symptomatic Vitreomacular Adhesion
- Onivyde (irinotecan liposome)
- Optical Coherence Tomography for Imaging of Coronary Arteries
- Pelvic Floor Stimulation (PFS) as a Treatment of Urinary or Fecal Incontinence
- Quantitative Electroencephalography (QEEG) as a Diagnostic Aid for Attention-Deficit Hyperactivity Disorder (ADHD)
- Reproductive Technologies or Techniques and Related Services
- Reslizumab (CINQAIR)
- Rhinomanometry, Acoustic Rhinometry, Optical Rhinometry and Acoustic Pharyngometry
- Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases
- Stem-Cell Therapy for the Treatment of Damaged Myocardium Due to Ischemia
- Surface Electrical Stimulation
Added 10/29/2018;
- Blinatumomab (Blincyto)
- Compounded Drug Products
- Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis
- Digital Imaging Software For Analyzing Time Series Retinal Images
- Electroretinography (ERG), Multi-focal Electroretinography (mfERG) And Pattern Electroretinography (PERG)
- Hospital Beds and Related Equipment
- Nasal and Sinus Surgery
- Orthopedic Applications of Platelet-Rich Plasma
- Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non-Orthopedic Conditions
- Serum Holotranscobalamin (holo-TC) as a Marker of Vitamin B12 (Cobalamin) Status
- Suprachoroidal Delivery of a Pharmacologic Agent
- Transciliary Fistulization for the Treatment of Glaucoma
- Use of Optical Coherence Tomography (OCT) in the Diagnosis and Treatment of Auditory System Conditions
- Transcatheter Aortic-Valve Implantation for Aortic Stenosis
- Alemtuzumab (Lemtrada)
- Signifor LAR (pasireotide)
- Artificial Liver Assist Devices for the Treatment of Liver Failure
- Baroreflex Stimulation Devices
- Bronchial Thermoplasty
- Enhanced External Counterpulsation (EECP)
- Coronary Computed Tomography Angiography (CCTA), Including Noninvasive Fractional Flow Reserve (FFR)
- Extracranial Carotid Angioplasty or Stenting
- Home Uterine Activity Monitoring
- Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
- Intravitreal Angiogenesis Inhibitors for Retinal Vascular Disorders
- Isolated Small Bowel Transplant
- Lipid Apheresis
- Myocardial Deformation Imaging (Strain Imaging)
- Optilume (Drug Coated Balloon) for the Treatment of Urethral Stricture Conditions
- Percutaneous and Implanted Nerve Stimulation and Neuromodulation
- Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR)
- Photodynamic Therapy (PDT) for Choroidal Neovascularization (CNV)
- Ramucirumab (Cyramza)
- Regenerative Adipose-Cell Therapy for Scleroderma of the Hands
- Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer, Including Comprehensive 3D Mapping with Biopsy
- Small Bowel/Liver and Multivisceral Transplant
- Surface Scanning Electromyography (EMG) (SEMG), Paraspinal Surface EMG, and Spinoscopy
- Tactile Biomechanical Sensor Imaging
- Treatment of Tinnitus
- Vestibular Function Testing
Click here to view the Health Care Service Corporation Medical Policy Updates »
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