PacificSource Health Plans Medical Policy Updates – December 2022

Click here to view the PacificSource Health Plans Medical Policy Updates »

December 2022 PacificSource Health Plans Medical Policy Updates:

• Balloon Sinus Ostial Dilation and Eustachian Tube Dilation
• Behavioral Health Outpatient Treatment
• Benign Prostatic Hyperplasia (BPH) Treatments
• Coding Guidelines for Claims Editing & Line-Item Bill Auditing
• Cryoablation and Radiofrequency Ablation for Renal Cell Cancer
• Diabetic Supplies
• Fluoride Treatment by a Primary Care Provider
• Gender Affirming Surgery and Related Procedures
• Intraoperative Neurophysiological Monitoring
• Lipedema Treatment
• Mental Health Treatment
• Never Events-Serious Avoidable Events
• Percutaneous Embolization of Scrotal Varices
• Peroral Endoscopic Myotomy (POEM) for Achalasia
• Skin and Soft Tissue Substitutes
• Sleep Disorder Treatment
• Stress and Urge Urinary Incontinence
• Transcranial Magnetic Stimulation
• Vocal Cord Paralysis Treatment

Click here to view the PacificSource Health Plans 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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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. All product and company names are trademarks™ or registered® trademarks of their respective holders. Use of them does not imply any affiliation with or endorsement by them. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.