Independence Blue Cross Medical Policy Updates – March 2019

Click here to view the Independence Blue Cross Medical Policy Updates »

 March 2019 Medical Policy Updates:

• Allergy Immunotherapy
• Aprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)
• Breast Pumps
• Continuous Passive Motion (CPM) Devices in the Home Setting
• Denervation of the Spinal Nerves for Chronic Pain
• Emapalumab-lzsg (Gamifant®)
• Fetal Surgery
• First-Trimester Prenatal Screening for Fetal Aneuploidy Using Fetal Ultrasound Markers
• Hospital Beds and Accessories
• In Vivo Allergy Sensitivity Testing
• Intravenous Chelation Therapy
• Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products
• Medical Necessity
• Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service
• Neuropsychological Testing for Neurologically Based Conditions
• PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
• Proton Beam Radiation Therapy
• Radiation Therapy Services (Independence)
• Radioimmunotherapy with Ibritumomab Tiuxetan (Zevalin®) (Independence Administrators)
• Radium Ra 223 dichloride (Xofigo®) Injection (Independence Administrators)
• Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care Providers
• Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring
• Tumor Treating Fields

Click here to view the Independence Blue Cross Medical Policy Updates »

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