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Health Care Service Corporation December 2017 Medical Policy Updates
Click here to view the Health Care Service Corporation Medical Policy Updates »
Health Care Service Corporation (HCSC – BCBS IL, TX, OK, NM, MT)
The following Medical Policies have been revised.
November 2017
- DME101.000 DME Introduction
- DME101.030 Low Intensity Ultrasound Accelerated Fracture Healing Device
- MED201.043 Sympathetic Therapy
- MED205.035 Percutaneous Tibial Nerve Stimulation (PTNS)
- RAD601.038 Magnetoencephalography (MEG) and Magnetic Source Imaging (MSI)
- RAD602.020 Three-dimensional (3D) and Four-dimensional (4D) Obstetrical Ultrasound
- RAD604.007 Coronary Computed Tomography Angiography (CCTA), Including Noninvasive Fractional Flow Reserve (FFR)
- RAD605.001 Cardiac Applications of Positron Emission Tomography Scanning
- RX501.074 Cellular Immunotherapy for Prostate Cancer (Sipuleucel-T [Provenge])
- RX502.032 Cabazitaxel (Jevtana)
- RX504.013 Management of Hereditary Angioedema (HAE) with Cinryze or Kalbitor
- SUR701.022 Magnetic Resonance-Guided Focused Ultrasound (MRgFUS)
- SUR701.033 Laparoscopic, Percutaneous and Transcervical Techniques for the Myolysis of Uterine Fibroids
- SUR703.010 Lung and Lobar Lung Transplant
- SUR703.013 Pancreas and Related Organ Tissue Transplantation
- SUR703.037 Hematopoietic Stem-Cell Transplantation for Acute Myelogenous Leukemia (AML)
- SUR709.036 Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease (GERD)
- SUR710.024 Aquablation of the Prostate
- SUR716.009 Breast Implant, Removal and/or Insertion
- THE801.027 Dermatologic Applications of Photodynamic Therapy (PDT)
- THE802.003 Lipid Apheresis
- THE803.016 Manipulation Under Anesthesia
Click here to view the Health Care Service Corporation Medical Policy Updates »
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