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Health Care Service Corporation (HCSC) Medical Policy Updates – May 2021
Click here to view the Health Care Service Corporation (HCSC) Medical Policy Updates »
May 2021 Health Care Service Corporation (HCSC) Medical Policy Updates:
- 4Kscore for Prostate Cancer Risk Assessment
- Ablation of Peripheral Nerves to Treat Pain
- Bamlanivimab
- Biofeedback for Miscellaneous Indications
- Casirivimab and Imdevimab Antibody Cocktail for COVID-19
- Cranial Electrotherapy Stimulation and Auricular Electrostimulation
- Drug Testing in Pain Management and Substance Use Disorder Monitoring
- Electrostimulation and Electromagnetic Therapy for Treating Wounds
- EndoPredict for Breast Cancer Prognosis
- Eptinezumab-jjmr
- Facet Joint and Sacroiliac Joint Denervation
- Fecal Analysis in the Diagnosis of Intestinal Dysbiosis
- Fecal Microbiota Transplantation (FMT)
- Home Uterine Activity Monitoring
- Hospital Beds and Related Equipment
- Immunoglobulin (Ig) Therapy (Including Intravenous [IVIG] and Subcutaneous Ig [SCIG])
- Implantable Infusion Pump for Pain and Spasticity
- Insulin Potentiation Therapy
- Intracellular Micronutrient Analysis
- Ocrelizumab
- Optical Coherence Tomography of the Breast
- Orthognathic Surgery
- Patisiran (Onpattro)
- Prostatic Urethral Lift
- Radioembolization for Primary and Metastatic Tumors of the Liver
- Radiofrequency Energy Therapy for Stress Urinary Incontinence (SUI)
- Ravulizumab-cwvz (Ultomiris)
- Risk-Reducing (Prophylactic) Mastectomy
- Sacroiliac Joint Injections
- Serological Testing for Inflammatory Bowel Disease (IBD)
- Shoulder Resurfacing
- Specialty Medication Administration Site of Care
- Surgery for Lipedema and Lymphedema
- Veklury
- Ventricular Assist Devices and Total Artificial Hearts
- Ultrasonographic Evaluation of Skin Lesions
Added 5/25/2021;
- Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses
- Belimumab
- Biofeedback as a Treatment of Fecal Incontinence or Constipation
- Casimersen
- Cervical Spinal Fusion
- Experimental, Investigational and/or Unproven Procedures/Services
- Facet Joint Injections
- Genetic Testing for FLT3, NPM1, and CEBPA Variants in Cytogenetically Normal Acute Myeloid Leukemia
- Hematopoietic Cell Transplantation for Acute Myelogenous Leukemia (AML)
- Implanted Adjustable Continence Therapy
- Intravenous Anesthetics for the Treatment of Pain and Psychiatric Disorders
- Laser Treatment of Congenital Port Wine Stain (PWS), Hemangiomas, and Other External Vascular Malformations
- Low Intensity Pulsed Ultrasound Fracture Healing Device
- Phototherapeutic Keratectomy
- Prolotherapy
- Pulmonary Rehabilitation
- Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
- Transcutaneous Electrical Stimulation (TENS) and Transcutaneous Electrical Modulation Pain Reprocessing (TEMPR)
- Treatment of Opioid Dependence
- Vagus Nerve Stimulation (VNS)
- Vertebral Body Stapling and Vertebral Body Tethering for the Treatment of Scoliosis
- Waterjet Tissue Ablation of the Prostate
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