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MAC Newsletters - Archive

2007

MAC-01-07 - Published 6/01/07

  • Ophthalmology Liaison (consent ballot October 2006)
    • Scanning Laser Ophthalmoscopy (SLO) Test for Glaucoma and Optical Coherence Tomography (OCT) for Retinal Conditions
  • Orthopedic Liaison (January 10, 2007)
    • Continuous Passive Motion (CPM) for Home Use
    • Intra-articular Hyaluronan Injections for Osteoarthritis of the Knee
    • Meniscal Allograft Transplantation
  • Chiropractic Liaison (January 25, 2007)
    • Informational Items only
  • Podiatry Liaison (February 8, 2007)
    • Informational Items only
  • Oncology Liaison (February 20, 2007)
    • Gene Expression Assay for Breast Cancer Treatment
  • Radiology Liaison (February 28, 2007)
    • Computerized Tomography (CT) Coronary Artery Scans
    • Extracranial Carotid Angioplasty/Stenting
    • High Dose Rate (HDR) Breast Brachytherapy With HDR Radioactive Source via MammoSite Catheter
    • Magnetic Resonance Imaging (MRI) and Computer Assisted Detection (CAD)
    • Virtual Colonoscopy

2006

MAC-03-06 - Published 12/29/06

  • Family Practice Liaison (July 11, 2006)
    • Continuous Glucose Monitoring System
    • Pediatric Growth Hormone
    • Respiratory Syncytial Virus
  • OB/GYN Liaison (July 19, 2006)
    • Informational Items Only
  • Pediatric Liaison (August 2, 2006)
    • Chest Oscillation
    • Continuous Glucose Monitoring System
    • Pediatric Growth Hormone
    • Respiratory Syncytial Virus
  • Internal Medicine Liaison (August 30, 2006)
    • Adult Growth Hormone
    • Chest Oscillation
    • Continuous Glucose Monitoring System
    • Insulin Pumps
    • Video EEG

MAC-02-06 - Published 9/29/06

  • Anesthesiology Liaison (May 9, 2006)
    • Epidural Lysis of Adhesions
    • Moderate Sedation/Monitored Anesthesia
  • Behavioral Health Liaison Committee (June 6, 2006)
    • Deep Brain Stimulation for Obsessive Compulsive Disorder
    • Eye Movement Desensitization and Reprocessing for Post
      Traumatic Stress Disorder
    • Vagus Nerve Stimulation for Depression
  • Optometric Liaison (May 25, 2006)
    • Informational Items Only

MAC-01-06 - Published 6/01/06

  • Otolaryngology Liaison (Consent Ballot December 8, 2005)
    • Bone Anchored Hearing Aids (BAHA)

 

2005 Information about PDF Files

MAC-03-05 - Published 12/30/05

  • Cardiology Liaison (April 27, 2005)
    • Ambulatory Event Monitors
  • Ophthalmology Liaison (Consent Ballot May 4, 2005)
                                  and
    Optometry Liaison (May 26, 2005)
    • Pachymetry
  • Otolaryngology Liaison (September 14, 2005)
    • Cochlear Implants
    • LAUP
    • UPPP and Tongue Base Reduction Surgery
  • Surgery Liaison (August 17, 2005)
    • BRCA I and BRCA II
    • MRI Breast
    • Wound VAC
  • Urology Liaison (August 24, 2005)
    • Botox for Overactive Bladder
    • Deflux for VUR
    • Water Induced Thermotherapy for BPH

MAC-02-05 - Published 09/30/05

    Orthopedic Liaison (January 5, 2005)
                        and
    Anesthesia Liaison (May 10, 2005)
    • Regional Nerve Blocks and General Anesthesia
    Cardiology Liaison (April 27, 2005)
    • Cardiovascular MRI and MRA
    • CT Coronary Artery Scans
    Optometric Liaison (May 26, 2005)
    • Sensorimotor and Neurobehavioral Status Exams

MAC-01-05 - Published 06/01/05

  • Ad Hoc Home Phototherapy
    • Home Phototherapy
  • Ad Hoc Therapies
    • Documentation of Medical Services
    • Heat and Cold Therapies
    • Unit Limitations (Modalities and Therapeutic
  • Orthopedic (January 5, 2005)
    • Extracorporeal Shock Wave Therapy
    • Kyphoplasty
  • Internal Medicine Liaison (January 26, 2005)
    • Continuous Glucose Monitoring
    • Intravenous Immunoglobin Globulin
  • Podiatry Liaison (February 3, 2005)
    • Extracorporeal Shock Wave Therapy
  • Radiology Liaison (February 8, 2005)
    • CT Coronary Artery Scan
    • Kyphoplasty
    • Magnetic Resonance Imaging (MRI) Breast
    • Positron Emission Tomography (PET)
  • Oncology Liaison (February 15, 2005)
    • Intravenous Immunoglobin Globulin
    • Positron Emission Tomography (PET)

 

2004 Information about PDF Files

MAC-03-04 - Published 12/30/04

  • Family Practice Liaison (July 13, 2004)
    • Orthotic Cranioplasty for Plagiocephaly Without Synostosis
    • Surgical Treatment of Gynecomastia
  • Pediatric Liaison (July 28, 2004)
    • Orthotic Cranioplasty for Plagiocephaly Without Synostosis
    • Surgical Treatment of Gynecomastia
  • Otolaryngology Liaison (August 11, 2004)
    • Allergy Testing
    • Excision of Parotid Tumor or Parotid Gland
    • Uvulopalatopharyngoplasty and Tongue Base Reduction Surgery
  • Surgery Liaison (August 18, 2004)
    • Surgical Treatment of Gynecomastia
    • Transesophageal Endoscopy Therapy
    • Wireless Capsule Endoscopy
  • General Information from MAC
    • Assistant at Surgery

MAC-02-04 - Published 9/22/04

  • Orthopedic Liaison (January 7, 2004)
    • Lateral Release – Knee
  • Optometric Liaison (May 27, 2004)
    • Extended Fundus Photography

MAC-01-04 - Published 5/27/04

  • General MAC Update (April 22, 2004)
    • Assistant at Surgery (CPT Code 20982)
  • Otolaryngology Liaison (December 3, 2003)
    • Allergy Immunotherapy
    • Allergy Testing
    • Uvulopalatopharyngoplasty (UPPP) and Tongue Base Reduction Surgery
  • Orthopedic Liaison (January 7, 2004)
    • Content of Service With Arthroscopy Shoulder Procedures
    • Equipment for Cold Therapy
    • Extracorporeal Shock Wave Therapy (ESWT) (Orthotripsy)
    • Extracorporeal Shock Wave Therapy (ESWT) - Tennis Elbow
    • Osteochondral Knee Allograft and Autografts
  • Radiology Liaison (February 10, 2004)
    • MRI of the Breast
    • Virtual Colonoscopy
  • Oncology Liaison (February 17, 2004)
    • Prophylactic Mastectomy

2003 Information about PDF Files

MAC-04-03 - Published 1/02/04

  • General MAC Update (November 6, 2003)
    • Assistant at Surgery codes (HCPCS Code S2091)
  • Family Practice Liaison (July 22, 2003)
    • Ambulatory Blood Pressure Monitoring
    • Respiratory Syncytial Virus (RSV) Guideline
    • Home Phototherapy
    • Wireless Capsule Endoscopy
    • Osteoporosis Screening
    • Continuous Glucose Monitoring
  • OB/GYN Liaison (July 23, 2003)
    • Osteoporosis Screening
    • Continuous Glucose Monitoring
    • Prophylactic Oophorectomy/Hysterectomy
    • Hysteroscopic Tubal Sterilization: Essure Micro-Insert
  • Pediatrics Liaison (July 30, 2003)
    • Respiratory Syncytial Virus (RSV) Guideline
    • Home Phototherapy
    • Continuous Glucose Monitoring
  • Otolaryngology Liaison (August 13, 2003)
    • Cautery and/or Ablation of Turbinates
  • Surgery Liaison (August 20, 2003)
    • Prophylactic Oophorectomy/Hysterectomy
    • Radiofrequency Ablation of Liver Tumors
    • Negative Pressure Wound Therapy (NPWT)
    • Lung Volume Reduction Surgery (LVRS)
  • Urology Liaison (August 27, 2003)
    • Prostate Specific Antigen (PSA)
    • Cryoablation of the Prostate
    • Sural Nerve Graft
    • Ultrasound for Post-Voiding
  • Internal Medicine Liaison (September 3, 2003)
    • Ambulatory Blood Pressure Monitoring
    • Wireless Capsule Endoscopy
    • Osteoporosis Screening
    • Continuous Glucose Monitoring
    • Lung Volume Reduction Surgery (LVRS)
    • Immune Globulin for the Treatment of Amyotrophic Lateral Sclerosis (ALS)
    • Enterix InSure™ Fecal Occult Blood Test

MAC-03-03 - Published 9/19/03

  • 2003 AMA CPT Codes Considered Not Medically Necessary

MAC-02-03 - Published 5/28/03

  • General MAC Update (April 24, 2003)
    • Assistant At Surgery Not Medically Necessary
  • Podiatry Liaison (February 6, 2003)
    • Noninvasive Bone Growth Stimulation
    • Unna Boot
  • Radiology Liaison (February 11, 2003 and April 1, 2003)
    • Prostate Brachytherapy with Permanent Seeds and High Dose Rate Prostate Brachytherapy
    • High Dose Rate Breast Brachytherapy with Permanent Seeds Via Mammo-Site Catheter
    • Tumor Markers CA-27.29 and CA-15-3
    • Ultrasound of Breast
    • Positron Emission Tomography (PET) Scans
    • Radiofrequency Ablation of Liver Tumors
    • Chemoembolization of Primary or Metastatic Carcinoma Liver Tumors
    • Kyphoplasty/Vertebroplasty
    • Magnetic Resonance Venography (MRV)
    • Magnetic Resonance Angiography (MRA) Guidelines
  • Orthopedic Liaison (February 12, 2003)
    • Noninvasive Bone Growth Stimulation
    • Kyphoplasty/Vertebroplasty
    • Service Content of Arthroscopy Shoulder Procedures
  • Oncology Liaison (February 18, 2003 and April 1, 2003)
    • Prostate Brachytherapy with Permanent Seeds and High Dose Rate Prostate Brachytherapy
    • Tumor Markers CA-15-3 and CA-27.29
    • High Dose Rate Breast Brachytherapy with Permanent Seeds Via Mammo-Site Catheter
    • Positron Emission Tomography (PET) Scans
    • Radiofrequency Ablation of Liver Tumors
    • Chemoembolization of Primary or Metastatic Carcinoma Liver Tumors

MAC-01-03 - Published 01/16/03

  • General Information From MAC (11/7/02)
    Assistant at Surgery Not Medically Necessary

  • OB/GYN Liaison (7/24/02)
    Fetal Fibronectin
    Uterine Artery Embolization (UAE)

  • Pediatric Liaison (7/31/02)
    Pediatric Pneumogram
    Repair of Septal Defect
    Respiratory Syncytial Virus Immune Globulin (RSV-Ig) Guideline
    Transitional Growth Hormone

  • Otolaryngology Liaison (8/14/02)
    Osteointegrated Implants
    Lung Volume Reduction Surgery (LVRS)
    Cochlear Implants

  • Surgery Liaison (8/21/02)
    Removal of Impacted Cerumen, One or Both Ears
    Breast Biopsy In Addition To Radical Mastectomy
    Coding Breast Capsulectomy and Implant Removal
    Endoscopic Gastroplasty

  • Internal Medicine Liaison (9/15/02)
    Interferon Gamma-1B (i.e. Actimmune) for Pulmonary Fibrosis
    VQ or CTA for Pulmonary Embolus
    Lung Volume Reduction (LVRS)

2002 Information about PDF Files

MAC-02-02 - Published 9/25/02

    General Information From MAC (met 8/08/02)
  • Assistant At Surgery Not Medically Necessary

    Cardiology Liaison (5/8/02)
  • Coronary Magnetic Resonance Angiography

    Ophthalmology Liaison (5/22/02)
  • Blepharoplasty and Blepharoptosis
  • Diagnosis Codes for Contacts, Glasses, and Lenses

MAC-01-02 - Published 7/11/02

    General Information From MAC (met 5/16/02)
  • Assistant At Surgery Denied Codes

    OB Epidural (Ad Hoc met 1/22/02)
  • CPT Codes for 2003

    Orthopedic Liaison (met 1/23/02)
  • Bilateral Spinal Procedures
  • Electrical Bone Growth Stimulator
  • Operating Microscope
  • CPM To Be Used With ACI
  • Percutaneous Vertebroplasty
  • Extracorporeal Shock Wave Therapy (Orthotripsy) for Plantar Fasciitis

    IVIG (Ad Hoc met 2/01/02)
  • Immunodeficiency Syndromes
  • Internal Medicine Liaison (met 2/06/02)
  • Adult Growth Hormone Therapy
  • Camera PillInterferon Gamma-1B (i.e., Actimmune)
  • Osteoporosis Rescreening Guidelines
  • Electron-Beam Computerized Tomography (EBCT) Screening for Cardiovascular Calcium Deposits

    Podiatry Liaison (met 2/7/02)
  • Extracorporeal Shock Wave Therapy (Orthotripsy) for Plantar Fasciitis
  • Electrical Bone Growth Stimulator

    Radiology Liaison (met 2/12/02)
  • Percutaneous Vertebroplasty
  • Positron Emission Tomography (PET)
  • Additional Diagnosis Codes Covered for Diagnostic Mammography
  • Brachytherapy
  • MRI of the Breast
  • Electron-Beam Computerized Tomography (EBCT) Screening for Cardiovascular Calcium Deposits
  • Breast Ductal Lavage

    Oncology Liaison (met 2/19/02)
  • Brachytherapy
  • Breast Ductal Lavage
    BRCA I and BRCA II Guidelines Updated

2001 Information about PDF Files

MAC-03-01 - Published 12/31/01

  • Assistant at Surgery Not Allowed
  • Computerized Tomography Angiography (CTA)
  • Cryosurgical Ablation of the Prostate (Urology)
  • Extracorporeal Magnetic Innervation (ExMI) (Urology)
  • Laser Procedure Codes (Ophthalmology)
  • Nasal Vestibular Stenosis (Otolaryngology)
  • Osteointegrated and Cochlear Implants (Otolaryngology)
  • Sleep Apnea and Post Operative Sleep Studies (Otolaryngology)
  • Transuretheral Destruction of Prostate Tissue by Water Induced Thermotherapy (Urology)
  • Tympanoplasty and Tube Placement (Otolaryngology)
  • Urological Stents (Urology)
  • Uvulopalatopharyngoplasty (UPPP) (Otolaryngology)
  • Visudyne Therapy (Ophthalmology)

MAC-02-01 - Published 09/27/01

  • BRCA I, BRCA II, and Prophylactic Mastectomy (Oncology)
  • Computerized tomography Angiography (Radiology)
  • Intensity Modulated Radiation Therapy (IMRT)
  • Magnetic Resonance Angiography (MRA) (Radiology)
  • Positron Emission Tomography (PET) (Radiology)
  • Total Parental Nutrition (TPN) (Oncology)

MAC-01-01 - Published 06/05/01

  • Adult Growth Hormone Therapy Guidelines (Internal Medicine)
  • Assistant at Surgery Codes
  • Autologous Chondrocyte Transplantation (ACT) (Orthopedic)
  • Bone Growth Substitute (Orthopedic)
  • Continuous Glucose Monitoring (Internal Medicine)
  • Continuous Passive Motion (CPM) (Orthopedic)
  • Neonatal Intensive Care (Pediatric)
  • Neuromuscular Stimulators
  • Pediatric Growth Hormone Therapy (Pediatric)
  • Percutaneous Vertebroplasty (Orthopedic)
  • Prophylactic Mastectomy (OB/GYN)
  • Remicade Administration Becomes More Flexible (Internal Medicine)
  • Superior Labrum Anterior Posterior Procedure (SLAP) (Orthopedic)
  • Uterine Artery Embolization (OB-GYN)


2000 Information about PDF Files

MAC-02-00 - Published 06/28/00

  • Stress Test Prior To Cardiac Rehabilitation (Cardiology)
  • Assistant at Surgery (Surgery)
  • Autologous Bone Marrow Transplant (AMBT) for Breast Cancer (Oncology)
  • Billing Contacts with an Approved Diagnosis (Ophthalmology)
  • Billing Intravenous Immune Globulin Treatment For Multifocal Neuropathy (Internal Medicine)
  • Botox Rehabilitation and
  • Pain Management
  • Botox Treatment Approved for Specific Diagnoses (Otolaryngology)
  • Claim Status Online
  • Continuing Medical Physics Consultation (Radiology)
  • Contrast Agents/Radioisotopes (Radiology)
  • CPT Code 93320 No Longer Content of Service of CPT 93325 (Cardiology)
  • Deleted Codes (Optometry)
  • Drugs No Longer Reviewed
  • Enterolysis and Enterectomy (Surgery)
  • HCPCS Code V2710 (Optometry)
  • High Dose Chemotherapy (HDC) with Autologous Stem Cell Support (AuSCS) (Oncology)
  • ICD-9 Diagnosis Code 367.9 (Ophthalmology)
  • Intradiscal Electrothermal Therapy (IDET) Rehabilitation and
  • Pain Management
  • Iridotomy/Iridectomy by Laser Surgery (Ophthalmology)
  • Knee X-Rays (Radiology)
  • MRI & MRA (Radiology)
  • Multiple Sclerosis (MS) Definitions (Internal Medicine)
  • OTOLam for Ear Infection (Otolaryngology)
  • Radiofrequency Ablation of the Tongue Base (Otolaryngology)
  • Revision of Guidelines for Reduction Mammoplasty (Surgery)
  • Stereotactic Needle Localization and Biopsy (Radiology)
  • Surgery Assistants (Cardiology)
  • Therapeutic Radiology Simulation-Aided Field Setting (Radiology)
  • Visudyne Therapy (Ophthalmology)
  • Warm Up Wound Therapy Rehabilitation and
  • Pain Management

MAC-01-00 - Published 06/28/00

  • Acupuncture
  • Ambulatory blood Pressure Monitoring
  • Botox for Achalsia
  • Enbrel for Psoriatic Arthritis
  • Endometrial Ablations
  • Endometrial Biopsy and Colposcopy
  • IVIG for Multifocal Neuropathy
  • Occipital Nerve Stimulator
  • Osteoporosis Screening Guidelines
  • Predetermination Request Form attached
  • Treatment of Secondary Progressive Multiple Sclerosis
  • Vax-D
  • Assistant at Surgery Listing
  • New Immunization - Prevnar


1999 Information about PDF Files

MAC-02-99 - Published 01/31/00

  • Adult Growth Hormone Therapy (Internal Medicine)
  • Assistant at Surgery Denial List (Surgery)
  • Assistant at Surgery Denial List (Orthopedics)
  • Bone Growth Stimulators (E0747) (Orthopedics)
  • Brachytherapy for Prostate Cancer (Radiology)
  • Continuous Passive Motion (CPM) Therapy (Orthopedics)
  • Contrast Agents/Radioisotopes (Radiology)
  • Coronary Arteries (Cardiology)
  • Diagnosis Codes for Diagnostic Mammography Radiology
  • Donor Cardiectomy (Surgery)
  • Electro Thermal Capsular Shrinkage (Orthopedics)
  • Extracorporeal Magnetic Innervation (Urology)
  • Guidelines for Synagis IM
  • Intravenous Immunoglobulin (IVIG) for Multifocal Motor Neuropathy (Internal Medicine)
  • LYMErix - Lyme Disease Vaccination (Internal Medicine)
  • Lymphedema Management Program Surgery
  • Magnetic Resonance Angiography (MRA) (Radiology)
  • Medical Emergency Diagnosis Codes (Optometry)
  • Non-Ionic Contrast Media (Radiology)
  • OB Epidural Anesthesia for Delivery (Anesthesia)
  • Ophthalmic Laser Procedure 67220 Guidelines (Ophthalmology)
  • Positron Emission Tomography (PET) (Radiology)
  • Procuren Growth Factor Therapy (Surgery)
  • Prophylactic Mastectomy (Surgery)
  • Proton Beam Treatment Delivery for Prostate Cancer (Radiology)
  • Radiofrequency Ablation of the Liver Surgery
  • Scanning Laser Ophthalmic Diagnostic Imaging (Ophthalmology)
  • Stereotactic Needle Localization & Biopsy Using a Mammotome (Radiology)
  • Synvisc and Hyalgan Guidelines - Revised (Orthopedics)
  • Thoratec Ventricular Assist Device (VAD) (Cardiology)
  • Total Parenteral Nutrition (TPN) Therapy Guidelines (Internal Medicine)
  • TPN for Cancer Patients (Internal Medicine)
  • Transmyocardial Laser Revascularization (TMLR) (Cardiology)
  • Treatment of Progressive Type Multiple Sclerosis (Internal Medicine)
  • Ultrasonic Treatment of Peyronie's Disease

MAC-01-99 - Published 05/19/99

  • Adult Growth Hormone Therapy (Internal Medicine)
  • Alpha Prefix - Insured's Identification Number
  • Assistant at Surgery Denial List (OB/GYN)
  • Assistant at Surgery Denial List attached
  • Assistant at Surgery Denial List (Podiatry)
  • Billing Procedures 57282 and 57250 (OB/GYN)
  • Botox for Spasticity (Pediatric & Internal Medicine)
  • Event Recording Interpretation (Apnea Monitor Downloads) (Pediatric)
  • Infliximab Drug (Internal Medicine)
  • Insulin Pump (Internal Medicine)
  • Major/Minor Classification List attached
  • Sahara Ultrasound System Bone Density Testing (Internal Medicine)
  • Salivary Estriol (SalEst) Testing (OB/GYN)
  • Strappings
  • Synagis IM (Pediatric Guidelines
  • ThAIRapy Vest (Internal Medicine)
  • Lung Volume Reduction Surgery (LVRS) (Internal Medicine)

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