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Health Care Service Corporation July 2017 Medical Policy Updates
Health Care Service Corporation (HCSC – BCBS IL, TX, OK, NM, MT) posts July 2017 Medical Policy Updates:
Health Care Service Corporation July 2017 Medical Policy Updates »
The following Medical Policies have been revised.
July 2017
- ADM1001.028 Inside the U.S. Food and Drug Administration (FDA)
- DME103.008 Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
- MED201.016 Device Therapies for Gastroesophageal Reflux Disease (GERD)
- MED201.023 Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
- MED201.025 Temporary Prostatic Stent
- MED201.026 Surface Electrical Stimulation
- MED201.040 Transcutaneous Electrical Stimulation (TENS) and Modulation (TEMPR)
- MED202.047 Transcranial Doppler (TCD) Ultrasound
- MED202.052 Transcoronary Ablation of Septal Hypertrophy (TASH)
- MED205.001 Diagnosis and Medical Management of Sleep Related Breathing Disorders
- MED205.026 Dynamic Posturography
- MED205.031 Electrical Impedance Scanning (EIS) of the Breast
- MED205.036 Peripheral Subcutaneous Field Stimulation
- MED207.093 Lymphocyte Transformation Test
- MED207.104 Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease
- MED207.133 Measurement of Serum Intermediate Density Lipoproteins (Remnant-Like Particles)
- MED207.147 Immune Cellular Function Assay to Monitor and Predict Immune Function
- MED207.155 Gastrointestinal Panels
- OTH903.015 Photodynamic Therapy (PDT) for Choroidal Neovascularization (CNV)
- OTH903.017 Photocoagulation of Macular Drusen
- OTH903.021 Optical Coherence Tomography of the Anterior Eye Segment
- OTH903.025 Eyelid Thermal Pulsation Therapy for Dry Eye Syndrome
- OTH903.026 Ocriplasmin for Symptomatic Vitreomacular Adhesion
- OTH903.029 Endothelial Keratoplasty
- OTH903.030 Keratoprosthesis
- OTH903.031 Corneal Hysteresis
- PSY301.007 Biofeedback for Miscellaneous Indications
- PSY301.015 Repetitive Transcranial Magnetic Stimulation (rTMS)
- RAD601.046 Dynamic Spinal Visualization
- RAD603.013 Positional Magnetic Resonance Imaging (MRI)
- RAD603.014 Fetal Magnetocardiography (fMCG)
- RAD604.012 Myocardial Sympathetic Innervation Imaging in Patients With Heart Failure
- RX501.034 Recombinant and Autologous Platelet-Derived Growth Factors as a Primary Treatment of Wound Healing and Other Miscellaneous Conditions
- RX501.049 Viscosupplementation for Osteoarthritis
- RX501.051 Biologic Response Modifiers (BRMs) for the Treatment of Rheumatoid Arthritis (RA) and Other Chronic Inflammatory Diseases
- RX501.073 Clostridial Collagenase for Fibroproliferative Disorders
- RX501.093 Bezlotoxumab (Zinplava)
- RX502.045 Trabectedin (Yondelis)
- RX502.047 Obinutuzumab (Gazyva)
- RX504.013 Management of Hereditary Angioedema (HAE) with Cinryze or Kalbitor
- SUR701.027 Intracranial Stenting or Angioplasty, including Endovascular Procedures
- SUR701.035 Percutaneous Image-Guided Nerve Cryoablation for Phantom Limb Pain (PLP)
- SUR701.036 Implanted Adjustable Continence Therapy
- SUR702.005 Acupuncture
- SUR703.003 Brain Tissue Transplantation, Neurotransplantation for Treatment of Parkinsons Disease
- SUR703.038 Hematopoietic Stem-Cell Transplantation for Breast Cancer
- SUR703.042 Hematopoietic Stem-Cell Transplantation for Malignant Astrocytomas and Gliomas
- SUR703.047 Hematopoietic Stem-Cell Transplantation for Acquired Immunodeficiency Syndrome (AIDS)
- SUR705.010 Temporomandibular Joint (TMJ) Disorders (TMJD)
- SUR705.027 Subtalar Arthroereisis (STA)
- SUR705.033 Sacroiliac Joint Fusion or Stabilization
- SUR705.034 Meniscal Allografts and Other Meniscal Implants
- SUR705.036 Surgery for Groin Pain in Athletes
- SUR705.038 Bone Morphogenetic Protein
- SUR706.001 Nasal and Sinus Surgery
- SUR707.016 Varicose Vein Management
- SUR707.026 Cardiac Restoration and Remodeling Procedures
- SUR707.028 Transcatheter Aortic-Valve Implantation for Aortic Stenosis
- SUR709.031 Gastric Electrical Stimulation (GES)
- SUR710.019 Nerve Graft With Radical Prostatectomy
- SUR710.021 Radiofrequency Energy Therapy for Stress Urinary Incontinence (SUI)
- SUR712.031 Surgical Deactivation of Headache Trigger Sites
- SUR712.033 Occipital Nerve Stimulation
- SUR712.036 Lumbar Spinal Fusion
- SUR712.038 Axial Lumbosacral Interbody Fusion
- SUR713.026 Retinal Prosthesis
- SUR713.031 Implantation of Intrastromal Corneal Ring Segments
- SUR713.034 Aqueous Shunts and Stents For Glaucoma
- SUR714.008 Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
- SUR716.001 Cosmetic and Reconstructive Procedures
- SUR716.010 Mastopexy
- SUR716.011 Reconstructive and Contralateral Mammaplasty
- SUR716.017 Surgical Treatment of Gynecomastia
- SUR716.021 Adipose-Derived Stem-Cells in Autologous Fat Grafting to the Breast
- THE801.003 Hyperbaric Oxygen (HBO2) Therapy
- THE803.008 Non Covered Physical Therapy Services
- THE803.012 Work Hardening
- THE803.019 Cognitive Rehabilitation
- THE803.020 Sensory Integration Therapy and Auditory Integration Therapy
- THE803.022 Hippotherapy
- THE803.023 Cardiac Rehabilitation (CR)
- THE803.025 Pulmonary Rehabilitation
Health Care Service Corporation July 2017 Medical Policy Updates »
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