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

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

• Artificial Intervertebral Disc: Cervical Spine
• Balloon Ostial Dilation for Treatment of Chronic and Recurrent Acute Rhinosinusitis
• Bariatric Surgery
• BCR-ABL1 Testing in Chronic Myelogenous Leukemia and Acute Lymphoblastic Leukemia
• Chelation Therapy for Off-Label Uses
• Chromosomal Microarray Testing for the Evaluation of Pregnancy Loss
• Endothelial Keratoplasty
• Facet Joint Denervation
• Gastric Electrical Stimulation
• Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer Effective Date: 02/01/22
• Genetic Testing for Epilepsy
• Genetic Testing for Familial Cutaneous Malignant Melanoma
• Genetic Testing for FLT3, NPM1, and CEBPA Variants in Cytogenetically Normal Acute Myeloid Leukemia
• Genetic Testing for Hereditary Hearing Loss
• Genetic Testing of CADASIL Syndrome
• Hematopoietic Cell Transplantation for Autoimmune Diseases
• Hip Resurfacing
• Implantable Cardioverter Defibrillators
• Interspinous and Interbody Fixation (Fusion) Devices
• JAK2, MPL, and CALR Testing for Myeloproliferative Neoplasms
• Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid Myolysis
• Leadless Cardiac Pacemakers
• Medical Services Protocol Updates
• Microarray-Based Gene Expression Profile Testing for Multiple Myeloma Risk Stratification
• Molecular Markers in Fine Needle Aspirates of the Thyroid
• Molecular Testing for Germline BRIP1, RAD51C, and RAD51D Variants Associated with Ovarian Cancer
• Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux
• Pharmacogenomic and Metabolite Markers for Patients Treated With Thiopurines
• Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
• Prostatic Urethral Lift
• Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
• Reconstructive Breast Surgery/Management of Breast Implants
• Saturation Biopsy for Diagnosis, Staging, and Management of Prostate Cancer
• Scintimammography and Gamma Imaging of the Breast and Axilla
• Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
• Serologic Genetic and Molecular Screening for Colorectal Cancer
• Subtalar Arthroereisis
• Surgical Treatment of Bilateral Gynecomastia
• Treatment of Hyperhidrosis
• Viscocanalostomy and Canaloplasty

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