Regence BCBS Medical Policy Updates – October 2018

Click here to view the Regence Blue Cross Blue Shield Medical Policy Updates »

October 2018 Medical Policy Updates:

• Adipose-derived Stem Cell Enrichment in Autologous Fat Grafting to the Breast
• Administrative Guidelines to Determine Dental vs Medical Services
• Artificial Pancreas Device System (APDS)
• Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis In Patients With Breast Cancer
• Aversion Therapy for Chemical Dependency
• Baroreflex Stimulation Devices
• Behavioral Table of Contents
• Bronchial Thermoplasty
• Carrier Screening for Genetic Diseases
• Chromosomal Microarray (CMA) Testing for the Evaluation of Products of Conception and Pregnancy Loss
• Chromosomal Microarray Analysis (CMA) for the Genetic Evaluation of Patients with Developmental Delay/Intellectual Disability, Autism Spectrum Disorder, or Congenital Anomalies
• Durable Medical Equipment Table of Contents
• Electrical Stimulation Devices Index
• Extracorporeal Membrane Oxygenation (ECMO) for the Treatment of Cardiac and Respiratory Failure in Adults
• Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
• Genetic Testing for Alzheimer’s Disease
• Genetic Testing for Duchenne and Becker Muscular Dystrophy
• Genetic Testing for FMR1 Variants (Including Fragile X Syndrome)
• Genetic Testing for Hereditary Breast and/or Ovarian Cancer
• Genetic Testing for Inherited Susceptibility to Colon Cancer
• Genetic Testing for Li-Fraumeni Syndrome
• Genetic Testing for Myeloid Neoplasms and Leukemia
• Genetic Testing for PTEN Hamartoma Tumor Syndrome
• Genetic Testing for Rett Syndrome
• Genetic Testing for α-Thalassemia
• Hematopoietic Cell Transplantation for Chronic Lymphocytic  Leukemia and Small Lymphocytic Lymphoma
• Hematopoietic Cell Transplantation for CNS Embryonal Tumors and Ependymoma
• Hematopoietic Cell Transplantation for Multiple Myeloma and POEMS Syndrome
• Hematopoietic Cell Transplantation Index
• Hyperbaric Oxygen Pressurization (HBOT)
• In Vivo Analysis of Colorectal Polyps
• Invasive Prenatal Fetal Diagnostic Testing Using Chromosomal Microarray Analysis (CMA)
• Lumbar Spinal Fusion
• Lumbar Spinal Fusion
• Lysis of Epidural Adhesions
• Molecular Markers in Fine Needle Aspirates of the Thyroid
• Orthognathic Surgery
• Powered Knee Prosthesis, Powered Ankle-Foot Prosthesis, Microprocessor-Controlled Ankle-Foot Prosthesis, and Microprocessor-Controlled Knee Prosthesis
• Preimplantation Genetic Testing
• Sequencing-based Tests to Determine Fetal Aneuploidies and  Microdeletions from Maternal Plasma DNA
• Supplement to MCG™ Criteria for Adult Substance-Related Disorders, Inpatient and Residential Behavioral Health Level of Care
• Supplement to MCG™ Discharge Criteria for Residential Treatment
• Transciliary Fistulization for the Treatment of Glaucoma
• Transcutaneous Electrical Modulation Pain Reprocessing
• Ultrasound Guidance for Facet Joint Injection
• Washington State Health Technology Clinical Committee (HTCC) Assessments

Click here to view the Regence Blue Cross Blue Shield 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.

Policy Alerts continuously monitors Commercial and Medicare Payer coverage information to keep you up-to-date on medical Insurance decisions in real-time. When changes occur, instant email alerts are delivered to your inbox. Clients have access to detailed coverage reports and medical policies through the interactive Policy Alerts Dashboard portal. Save time each month and keep focused on important Payer medical policy reviews and coverage decisions affecting your business!

Policy Alerts takes a client-focused hands-on approach and is constantly working to provide our customers with helpful insights and actionable analytics. We understand what our clients need and are dedicated to providing timely, accurate, and always up-to-date reports.

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.