Medica Health Plan Medical Policy Updates – December 2022

Click here to view the Medica Health Plan Medical Policy Updates »

December 2022 Medica Health Plan Medical Policy Updates:

• Bilateral Procedures
• Breast-Specific Gamma Imaging Scintimammography, and Molecular Breast Imaging
• Bundled Services
• Cervical Spine Surgeries
• Electric Tumor Treatment Fields (Optune®)
• Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Indications and Soft Tissue Injuries
• Genetic Testing: Hereditary Cancer Susceptibility
• Genetic Testing: Non-Invasive Prenatal Screening (NIPS)
• Genetic Testing: Oncology – Algorithmic Testing
• Genetic Testing: Oncology – Cancer Screening
• Genetic Testing: Oncology – Circulating Tumor DNA and Circulating Tumor Cells (Liquid Biopsy)
• Genetic Testing: Oncology – Cytogenetic Testing
• Genetic Testing: Oncology – Molecular Analysis of Solid Tumors and Hematologic Malignancies
• Genetic Testing: Pharmacogenetics
• Genetic Testing: Preimplantation Genetic Testing
• Genetic Testing: Prenatal and Preconception Carrier Screening
• Genetic Testing: Prenatal Diagnosis (via Amniocentesis, CVS, or PUBS) and Pregnancy Loss
• Laboratory Test
• Lumbar Spine Surgeries
• Multiple Procedure Reduction
• New-to-Market Medical Pharmacy Products Currently Under Clinical Review by Medica
• Preventive Medicine and Screening
• Split Surgical Package
• Technology Assisted Surgical Techniques
• Time Span Codes
• Vitamin D Testing for Screening

Click here to view the Medica Health Plan Medical Policy Updates »

Policy Alerts monitors Commercial and Medicare medical policies for changes. While medical Insurance carriers typically update medical policies annually, there are many reasons why they might review or update a policy. When reviews occur out of cycle they often go unnoticed. Policy Alerts keeps you updated when Payers make coverage changes to medical policies affecting your business.

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