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Premera Blue Cross Medical Policy Updates – June 2021
Click here to view the Premera Blue Cross Medical Policy Updates »
Premera Blue Cross June 2021 Medical Policy Updates:
- Anterior Cervical Spine Decompression and Fusion in Adults
- Artificial Intervertebral Disc: Cervical Spine
- Artificial Intervertebral Disc: Lumbar Spine
- Artificial Pancreas Device Systems
- Automated Percutaneous and Percutaneous Endoscopic
- Axial Lumbosacral Interbody Fusion
- Cutaneous T-Cell Lymphomas (CTCL): Systemic Therapies
- Deep Brain Stimulation
- Electrical Bone Growth Stimulation of the Appendicular Skeleton
- Energy (Laser Discectomy) or Radiofrequency Coblation Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty)
- Facet Arthroplasty
- Focal Treatments for Prostate Cancer
- Herceptin® (trastuzumab) and Other HER2 Inhibitors
- Image-Guided Minimally Invasive Decompression for Spinal Stenosis
- Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
- 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
- Miscellaneous Oncology Drugs
- Monoclonal Antibodies for the Treatment of Lymphoma
- Occipital Nerve Stimulation
- Orthognathic Surgery
- Orthopedic Applications of Platelet-Rich Plasma
- Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation
- Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty
- Percutaneous Vertebroplasty and Sacroplasty
- Peripheral Subcutaneous Field Stimulation
- Pharmacologic Treatment of Neuropathy, Fibromyalgia, and Seizure Disorders
- Proprotein Convertase Subtilisin Kexin Type 9 (PCSK9) Inhibitors
- Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
- Sacral Nerve Neuromodulation/Stimulation
- Spinal Cord and Dorsal Root Ganglion Stimulation
- Subtalar Arthroereisis
- Vertebral Axial Decompression
Click here to view the Premera Blue Cross Medical Policy Updates »
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