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BCBS Minnesota Medical Policy Updates – May 2018

BCBS Minnesota Medical Policy Updates – May 2018
Blue Cross Blue Shield Minnesota Medical Policy Updates

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

May 2018 Medical Policy Updates:

Policies Developed

  • Agalsidase Beta, II-26
  • Alglucosidase Alfa, II-186
  • Benralizumab, II-203
  • Bezlotoxumab, II-199
  • Blepharoplasty and Brow Ptosis Repair, IV-17
  • Breast Ductal Lavage and Fiberoptic Ductoscopy, IV-108
  • Esophageal pH Monitoring, VII-64
  • Fecal Microbiota Transplantation, II-198
  • Gynecomastia Surgery, IV-71
  • Injectable Clostridial Collagenase for Fibroproliferative Disorders, II-145
  • Interferential Current Stimulation, VII-66
  • Mepolizumab, II-201
  • Pegloticase, II-147
  • Reslizumab, II-202
  • Sacral Nerve Neuromodulation/Stimulation for Selected Conditions, IV-83
  • Sebelipase Alfa, II-200
  • Transcatheter Mitral Valve Repair (TMVR), IV-152
  • Transcatheter Pulmonary Valve Implantation, IV-155

Policies Revised

  • Acupuncture, III-01
  • Nusinersen, II-171
  • Selected Treatments for Varicose Veins of the Lower Extremities, IV-129
  • Tumor Treating Fields Therapy, II-164

Policies Inactivated

  • None


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


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