Highmark Blue Shield Northeastern New York Medical Policy Updates – August 2022

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August 2022 Highmark Blue Shield Northeastern New York Medical Policy Updates:

• Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
• Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
• Automated Percutaneous and Percutaneous Endoscopic Discectomy
• Bronchial Thermoplasty
• Catheter Ablation as Treatment for Atrial Fibrillation
• Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
• Closure Devices for Patent Foramen Ovale and Atrial Septal Defects
• Cochlear Implant
• Corneal Topography/Computer-Assisted Corneal  Topography/Photokeratoscopy
• Electrical and Electromagnetic Stimulation for the Treatment of Arthritis
• Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms)
• Enhanced External Counterpulsation
• Epidural Steroid Injections for Neck or Back Pain
• Fecal Analysis in the Diagnosis of Intestinal Dysbiosis
• Fecal Microbiota Transplantation
• Gene Expression Profiling for Cutaneous Melanoma
• Gene Expression-Based Assays for Cancers of Unknown Primary
• Gene Variants Associated With Breast Cancer in Individuals at High Breast Cancer Risk
• Genetic Testing for Lactase Insufficiency
• Genetic Testing for Li-Fraumeni Syndrome
• Genetic Testing for Mitochondrial Disorders
• Genotype-Guided Tamoxifen Treatment
• Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
• Hippotherapy
• Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disease
• Image-Guided Minimally Invasive Decompression for Spinal Stenosis
• Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
• Keratoprosthesis
• Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease
• Miscellaneous Genetic and Molecular Diagnostic Tests
• Molecular Testing for the Management of Pancreatic Cysts or Barrett Esophagus
• Multimarker Serum Testing Related to Ovarian Cancer
• Myoelectric Prosthetic and Orthotic Components for the Upper Limb
• Occipital Nerve Stimulation
• Orthopedic Applications of Platelet-Rich Plasma
• Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used With Autologous Bone Marrow)
• Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions
• Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome
• Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation
• Percutaneous Tibial Nerve Stimulation
• Percutaneous Vertebroplasty and Sacroplasty
• Polysomnography for Non-respiratory Sleep Disorders
• Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia
• Radioembolization for Primary and Metastatic Tumors of the Liver
• Sensory Integration Therapy and Auditory Integration Therapy
• Stem Cell Therapy for Peripheral Arterial Disease
• Surgical Treatment of Femoroacetabular Impingement
• Vagus Nerve Stimulation
• Whole Gland Cryoablation of Prostate Cancer

Click here to view the Highmark Blue Shield Northeastern New York Medical Policy Updates »

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Highmark Blue Shield Northeastern New York

Highmark Blue Shield Northeastern New York