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BCBS HealthNow NY March 2018 Medical Policy Updates

BCBS HealthNow NY March 2018 Medical Policy Updates
HealthNow NY Medical Policy Updates

Click here to view the BCBS HealthNow NY Medical Policy Updates »

Protocol Revisions:

  • Artificial Pancreas Device Systems
  • Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
  • Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors
  • Genetic Testing for Cardiac Ion Channelopathies
  • Genetic Testing of CADASIL Syndrome
  • Hematopoietic Stem Cell Transplantation for Hodgkin Lymphoma
  • Implantable Cardioverter Defibrillators
  • Invasive Prenatal (Fetal) Diagnostic Testing
  • Lipid Apheresis
  • Molecular Analysis for Targeted Therapy of Non-Small-Cell Lung Cancer
  • Molecular Markers in Fine Needle Aspirates of the Thyroid
  • Multimarker Serum Testing Related to Ovarian Cancer
  • Prostatic Urethral Lift
  • Spinal Cord Stimulation
  • Surgical Ventricular Restoration
  • Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease
  • Viscocanalostomy and Canaloplasty

 

New Protocols:

  • Circulating Tumor DNA for Management of Non-Small-Cell Lung Cancer (Liquid Biopsy)

 

Protocols Reviewed Without Change:

  • Actigraphy
  • Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias (Formerly
  • Allogeneic Hematopoietic Stem Cell Transplantation for Genetic Diseases and Acquired Anemias)
  • Aqueous Shunts and Stents for Glaucoma
  • Artificial Intervertebral Disc: Cervical Spine
  • Artificial Intervertebral Disc: Lumbar Spine
  • Autonomic Nervous System Testing
  • Axial Lumbosacral Interbody Fusion
  • Balloon Ostial Dilation for Treatment of Chronic Rhinosinusitis (Formerly Balloon Ostial Dilation for
  • Treatment of Chronic Sinusitis)
  • Biofeedback for Miscellaneous Indications
  • Cardiovascular Risk Panels
  • Chromosomal Microarray Testing for the Evaluation of Pregnancy Loss (Formerly Chromosomal
  • Microarray Analysis for the Evaluation of Pregnancy Loss)
  • Closure Devices for Patent Foramen Ovale and Atrial Septal Defects
  • Cryosurgical Ablation of Primary or Metastatic Liver Tumors
  • Dynamic Posturography
  • Electrical Bone Growth Stimulation of the Appendicular Skeleton
  • Electrical Stimulation for the Treatment of Arthritis
  • Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures
  • Electromagnetic Navigation Bronchoscopy
  • Endobronchial Ultrasound for Diagnosis and Staging of Lung Cancer
  • Endothelial Keratoplasty
  • Facet Joint Denervation
  • Gastric Electrical Stimulation
  • Genetic Testing for Familial Cutaneous Malignant Melanoma
  • Genetic Testing for Human Leukocyte Genes (HLA)
  • Genetic Testing for Mental Health Conditions
  • Heart Transplant
  • Heart/Lung Transplant
  • Hematopoietic Cell Transplantation for Autoimmune Diseases (Formerly Hematopoietic Stem Cell
  • Transplantation for Autoimmune Diseases)
  • Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors and Ependymoma
  • (Formerly Hematopoietic Stem Cell Transplantation for Central Nervous System Embryonal Tumors and
  • Ependymoma)
  • Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer (Formerly Hematopoietic Stem Cell
  • Transplantation for Epithelial Ovarian Cancer)
  • Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults (Formerly Hematopoietic
  • Stem Cell Transplantation for Miscellaneous Solid Tumors in Adults)
  • Hip Resurfacing
  • Immune Cell Function Assay
  • Implantable Sinus Stents for Postoperative Use Following Endoscopic Sinus Surgery and for Recurrent
  • Sinus Disease
  • Implantation of Intrastromal Corneal Ring Segments
  • Interspinous Fixation (Fusion) Devices
  • Intra-Articular Hyaluronan Injections for Osteoarthritis
  • Low-Level Laser Therapy
  • Lysis of Epidural Adhesions
  • Magnetoencephalography/Magnetic Source Imaging
  • Microwave Tumor Ablation
  • Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis
  • Occipital Nerve Stimulation
  • Orthoptic/Vision Therapy
  • Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux
  • Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
  • Quantitative Sensory Testing
  • Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
  • Radioimmunoscintigraphy (Monoclonal Antibody Imaging) With Indium 111 Capromab Pendetide for
  • Prostate Cancer
  • Reduction Mammaplasty for Breast-Related Symptoms
  • Scintimammography and Gamma Imaging of the Breast and Axilla
  • Sensory Integration Therapy and Auditory Integration Therapy
  • Subtalar Arthroereisis
  • Surgical Treatment of Bilateral Gynecomastia
  • Transcatheter Aortic Valve Implantation for Aortic Stenosis
  • Transcatheter Mitral Valve Repair
  • Transcatheter Pulmonary Valve Implantation

 

Click here to view the BCBS HealthNow NY Medical Policy Updates »

 

Policy Alerts monitors Commercial and Medicare medical policies for changes. While Payers typically update medical policies annually, there are many reasons why a Payer might review or update a policy. When reviews occur out of cycle, they may go unnoticed. Policy Alerts keeps you informed of upcoming and unexpected coverage changes affecting your product. Quickly understanding the changes Payers make can help you adjust reimbursement strategies impacting your business.

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Policy Alerts takes a client-focused hands-on approach and works hard to provide our customers with helpful insights and actionable analytics over raw data. We understand what our clients need and we are dedicated to making sure we provide timely, accurate and always up-to-date reports that can be used to implement and support a successful reimbursement strategy.

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. This information is presented for illustrative purposes only and does not constitute reimbursement or legal advice.

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