Health Care Service Corporation October 2017 Medical Policy Updates

Post Views: 970

Click here to view the Health Care Service Corporation October 2017 Medical Policy Updates »

Health Care Service Corporation (HCSC – BCBS IL, TX, OK, NM, MT)

The following Medical Policies have been revised.

October 2017

DME101.027 Airway Clearance Devices
DME101.040 Home Spirometry

DME104.009 Speech Generating Devices (SGD)
DME104.012 Lower Limb Prosthetics, Including Microprocessor Prosthetics
MED201.033 Functional Neuromuscular Electrical Stimulation (FNMES)
MED201.036 Bioimpedance Devices for Detection of Lymphedema
MED201.037 Acoustic Respiratory Management (ARM)
MED201.041 Interferential Current Stimulation
MED201.042 Electrical Stimulation for the Treatment of Arthritis
MED202.006 Risk Stratification Tests for Determining Arrhythmias (Signal-Averaged Electrocardiography [SAECG] and Microvolt T-Wave Alternans [MTWA])
MED202.051 Endovascular Grafts (Endoprostheses) for Abdominal Aortic Aneurysms
MED202.061 Electrocardiographic Body Surface Mapping
MED202.063 Computerized 2-lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Disease
MED202.068 Cardiac Contractility Modulation (CCM) Device
MED202.070 Non-Invasive Measurement of Central Blood Pressure (cBP)
MED203.010 Melanoma Vaccines
MED205.006 Surface Scanning Electromyography (EMG) (SEMG), Paraspinal Surface EMG, and Spinoscopy
MED205.030 Quantitative Sensory Testing
MED205.037 Navigated Transcranial Magnetic Stimulation (nTMS)
MED207.088 Intracellular Micronutrient Analysis
MED207.138 Serum Holotranscobalamin (holo-TC) as a Marker of Vitamin B12 (Cobalamin) Status
OTH903.020 Intravitreal Angiogenesis Inhibitors for Choroidal Vascular Conditions
OTH903.033 Visual Evoked Potential Testing for Glaucoma
OTH903.035 Suprachoroidal Delivery of a Pharmacologic Agent
RAD601.053 Optical Coherence Tomography of the Breast
RAD601.054 Radiostereometric Analysis for Assessment of Orthopedic Implant Position
RAD602.017 Ultrasonographic Evaluation of Skin Lesions
RX501.057 Sodium Phenylbutyrate
RX501.058 Xolair (Omalizumab)
RX501.077 Alemtuzumab (Lemtrada)
RX501.083 Reslizumab (CINQAIR)

RX501.088 Chimeric Antigen Receptor (CAR) T-cell Therapy
RX502.033 Checkpoint-Blocking/Inhibitor Antibody Treatment for Select Cancers
SUR701.018 Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors
SUR701.020 Microwave Thermotherapy for Primary Breast Cancer
SUR701.028 Extracranial Carotid Angioplasty or Stenting
SUR701.032 Cryosurgical Ablation of Primary or Metastatic Liver Tumors
SUR702.017 Facet Joint and Sacroiliac Joint Denervation
SUR703.051 Orthopedic Applications of Stem-Cell Therapy
SUR703.052 Composite Tissue Allotransplantation of the Hand and Face
SUR705.018 Extracorporeal Shock Wave Treatment for Musculoskeletal Indications and Soft Tissue Injuries
SUR705.037 Patient-Specific Cutting Guides and Custom Knee Implants
SUR706.013 Electromagnetic Navigation Bronchoscopy (ENB)
SUR706.015 Endobronchial Valves
SUR707.005 Dynamic Cardiomyoplasty
SUR707.025 Transcatheter Mitral Valve Repair
SUR707.029 Transcatheter Pulmonary Valve Implantation
SUR710.023 Prostatic Urethral Lift (PUL) for the treatment of Benign Prostatic Hyperplasia (BPH)
SUR712.032 Isolated Facet Joint Fusion
SUR712.041 Cervical and Thoracic Spinal Fusion
SUR713.033 Transciliary Fistulization for the Treatment of Glaucoma
THE801.028 Acne Management
THE801.038 Inhaled Nitric Oxide
THE803.024 Back School

Click here to view the Health Care Service Corporation October 2017 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.

Health Care Service Corporation (HCSC)