skip to Main Content

Health Care Service Corporation November 2017 Pending Medical Policy Updates

Click here to view the Health Care Service Corporation Pending Medical Policy Updates »

November 2017 Pending Medical Policies

Title Policy Number Release Date
Aquablation of the Prostate SUR710.024 12-01-2017
Artificial Intervertebral Disc SUR712.028 11-15-2017
Artificial Liver Assist Devices for the Treatment of Liver Failure SUR709.034 11-15-2017
Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions SUR705.020 02-01-2018
Automated Percutaneous Discectomy and Percutaneous Endoscopic Discectomy SUR712.004 02-15-2018
Breast Implant, Removal and/or Insertion SUR716.009 12-01-2017
Cabazitaxel (Jevtana) RX502.032 12-01-2017
Cellular Immunotherapy for Prostate Cancer (Sipuleucel-T [Provenge]) RX501.074 12-01-2017
Continuous Passive Motion (CPM) Device DME101.023 11-15-2017
Coronary Computed Tomography Angiography (CCTA), Including Noninvasive Fractional Flow Reserve (FFR) RAD604.007 12-01-2017
DME Introduction DME101.000 12-01-2017
Dermatologic Applications of Photodynamic Therapy (PDT) THE801.027 12-01-2017
Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis MED202.064 01-15-2018
Electroconvulsive Therapy PSY301.013 11-15-2017
Electroretinography (ERG), Multi-focal Electroretinography (mfERG) And Pattern Electroretinography (PERG) OTH903.036 01-15-2018
Erythropoiesis-Stimulating Agents (ESAs) RX501.069 02-15-2018
Hematopoietic Stem-Cell Transplantation for Acute Myelogenous Leukemia (AML) SUR703.037 12-01-2017
Hematopoietic Stem-Cell Transplantation for Solid Tumors in Children SUR703.044 12-15-2017
Home Uterine Activity Monitoring OB401.017 11-15-2017
Image-Guided Minimally Invasive Decompression for Spinal Stenosis SUR712.035 02-15-2018
Intravitreal Corticosteroid Implants OTH903.024 01-01-2018
Isolated Limb Perfusion/Infusion for Malignant Melanoma SUR701.010 01-01-2018
Laparoscopic, Percutaneous and Transcervical Techniques for the Myolysis of Uterine Fibroids SUR701.033 12-01-2017
Leadless Cardiac Pacemaker SUR707.030 11-15-2017
Lipid Apheresis THE802.003 12-01-2017
Low Intensity Ultrasound Accelerated Fracture Healing Device DME101.030 12-01-2017
Lung and Lobar Lung Transplant SUR703.010 12-01-2017
Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease (GERD) SUR709.036 12-01-2017
Magnetic Resonance-Guided Focused Ultrasound (MRgFUS) SUR701.022 12-01-2017
Magnetoencephalography (MEG) and Magnetic Source Imaging (MSI) RAD601.038 12-01-2017
Management of Hereditary Angioedema (HAE) with Cinryze or Kalbitor RX504.013 12-01-2017
Manipulation Under Anesthesia THE803.016 11-30-2017
Nutritional Support MED201.011 12-15-2017
Oncologic Applications of Photodynamic Therapy, Including Barretts Esophagus THE801.029 11-15-2017
Optical Coherence Tomography for Imaging of Coronary Arteries MED202.065 01-15-2018
Pancreas and Related Organ Tissue Transplantation SUR703.013 12-01-2017
Pelvic Floor Stimulation (PFS) as a Treatment of Urinary or Fecal Incontinence DME101.037 11-15-2017
Percutaneous Tibial Nerve Stimulation (PTNS) MED205.035 12-01-2017
Progesterone Therapy as a Technique to Reduce Preterm Delivery in High-Risk Pregnancies RX501.062 12-15-2017
Prophylactic Mastectomy (PM) SUR716.015 11-15-2017
Psychological and Neuropsychological Testing PSY301.020 11-15-2017
Reduction Mammaplasty SUR716.012 01-15-2018
Surgical Deactivation of Headache Trigger Sites SUR712.031 02-15-2018
Sympathetic Therapy MED201.043 12-01-2017
Three-dimensional (3D) and Four-dimensional (4D) Obstetrical Ultrasound RAD602.020 12-01-2017
Transcatheter Arterial Chemoembolization (TACE) of the Liver THE801.022 11-15-2017
Treatment of Hyperhidrosis MED201.014 11-15-2017


Click here to view the Health Care Service Corporation Pending Medical Policy Updates »


Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on Payer decisions in real-time. Whenever changes occur, email notifications containing a summary of those changes are delivered to your inbox. Clients can access detailed coverage reports and medical policies on the interactive Dashboard portal. Save time and keep focused on the important Payer medical policy reviews and coverage decisions affecting your product!

Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

Health economic and reimbursement information provided by Policy Alerts is gathered from third-party sources and is subject to change without notice as a result of complex and frequently changing laws, regulations, rules and policies. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

Back To Top