Blue Cross Blue Shield Massachusetts November 2017 Medical Policy Updates

November 2017 Medical Policy Updates:

• None

REVISED MEDICAL POLICIES:

• Liver Transplant and Combined Liver-Kidney Transplant
• Obstetrical Ultrasound & Ultrasound for Family Planning

CLARIFICATIONS TO MEDICAL POLICIES:

• Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
• Coronary Computed Tomography Angiography with Selective Noninvasive Fractional
• Flow Reserve
• Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
• LUXTURNA™ (voretigene neparvovec), gene therapy for the treatment of vision loss due to confirmed biallelic
• RPE65-mediated inherited retinal disease (IRD)
• Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas
• Yescarta™ (axicabtagene ciloleucel) CAR T-cell therapy for treatment of adult patients with relapsed or refractory large B-cell lymphoma

RETIRED MEDICAL POLICIES:

• Breast Ultrasound
• Gait Analysis
• H-wave Electrical Stimulation
• Sensory Stimulation for Coma Patients

Click here to view the Blue Cross Blue Shield Massachusetts November 2017 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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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.