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Premera Blue Cross Medical Policy Updates – July 2018
Click here to view the Premera Blue Cross Medical Policy Updates »
July 2018 Medical Policy Updates:
- ALK Tyrosine Kinase Inhibitors
- Artificial Intervertebral Disc: Cervical Spine
- Artificial Intervertebral Disc: Lumbar Spine
- Axial Lumbosacral Interbody Fusion
- Bone Mineral Density Studies
- Cialis® (tadalafil) for Benign Prostatic Hyperplasia
- Cosmetic and Reconstructive Services
- Cutaneous T-Cell Lymphomas (CTCL): Systemic Therapies
- Deep Brain Stimulation
- Egrifta® (tesamorelin)
- Electrical Bone Growth Stimulation of the Appendicular Skeleton
- Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures
- Energy (Laser Discectomy) or Radiofrequency Coblation Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)
- Epidermal Growth Factor Receptor (EGFR) Inhibitors
- Facet Arthroplasty
- Facet Joint Denervation
- Gender Reassignment Surgery
- General Medical Necessity Criteria for Companion Diagnostics Related to Drug Approval
- Genetic Testing for Alzheimer Disease
- Genetic Testing for Hereditary Breast / Ovarian Cancer Syndrome (BRCA1/BRCA2)
- Genetic Testing for Hereditary Hearing Loss
- Genetic Testing of CADASIL Syndrome
- Hematopoietic Stem-Cell Transplantation for Waldenstrom Macroglobulinemia
- Image-Guided Minimally Invasive Decompression for Spinal Stenosis
- Immune Globulin Therapy
- Interspinous Fixation (Fusion) Devices
- Intra-Articular Hyaluronan Injections for Osteoarthritis
- Lumbar Spine Decompression Surgery: Discectomy, Foraminotomy, Laminotomy, Laminectomy
- Medical Necessity Criteria for Pharmacy Ed
- Meniscal Allografts and Other Meniscal Implants
- Microprocessor-Controlled and Powered Prostheses for the Lower Limb
- Miscellaneous Oncology Drugs
- Monoclonal Antibodies for the Treatment of Lymphoma
- Multiple Receptor Tyrosine Kinase Inhibitors
- Occipital Nerve Stimulation
- Off-Label Use of Drugs and Biologic Agents
- Orthognathic Surgery
- Orthopedic Applications of Platelet-Rich Plasma
- Orthoptic Training for the Treatment of Vision or Learning Disabilities
- Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation
- Percutaneous Vertebroplasty and Sacroplasty
- Peripheral Subcutaneous Field Stimulation
- Pharmacologic Treatment of Neuropathy, Fibromyalgia, and Seizure Disorders
- Prostate Cancer Targeted Therapies
- Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
- Sacral Nerve Neuromodulation/Stimulation
- Solid Organ Transplants
- Spinal Cord and Dorsal Root Ganglion Stimulation
- Subtalar Arthroereisis
- Transcatheter Aortic Valve Implantation for Aortic Stenosis
- Treatment of Hyperhidrosis
- Vertebral Axial Decompression
Click here to view the Premera Blue Cross Medical Policy Updates »
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