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Medical Policies

The medical policies listed below reflect medical criteria used/developed by Blue Cross and Blue Shield of Kansas. These medical policies do not guarantee benefits under BCBSKS member contracts.

A BCBSKS medical policy may apply to professional providers, to institutional providers or to both. That’s why the medical policy format shows separate effective dates for professional and institutional providers. It’s also why if you compare the list of professional medical policies to the list for institutional providers there could be a difference.

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These are the most recent policy updates.


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Medical Policies

Policy Title PDF Files Date Posted Professional Effective Date Institutional Effective Date
ACA Prevention Copay Waiver Criteria – Individual Marketplace, Commercial 07/01/20 07/01/20 07/01/20
Accelerated Breast Irradiation and Brachytherapy Boost After Breast-Conserving Surgery for Early Stage Breast Cancer 02/01/21 10/12/18 10/12/18
Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses 05/05/21 09/11/19 09/11/19
Alcohol Injection Therapy for Morton’s Neuroma 03/11/21 06/03/11 06/03/11
Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry 03/18/21 07/23/18 07/23/18
Amniotic Membrane and Amniotic Fluid 07/01/20 09/27/19 09/27/19
Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening 10/02/20 01/01/17 01/01/17
Anodyne® - Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions 02/24/21 03/13/13 03/13/13
Aqueous Shunts and Stents for Glaucoma 05/21/21 05/28/20 05/28/20
Aqueous Shunts and Stents for Glaucoma 05/22/20 05/28/20 05/28/20
Artificial Intervertebral Disc: Cervical Spine 06/03/21 10/12/16 10/12/16
Artificial Intervertebral Disc: Lumbar Spine 08/21/20 09/23/08 09/23/08
Artificial Pancreas Device Systems 06/03/21 06/03/21 06/03/21
Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer 02/26/21 03/29/21 03/29/21
Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions 02/18/21 07/06/18 07/06/18
Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions 06/03/21 04/08/20 04/08/20
Automated Ambulatory Blood Pressure Monitoring for the Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure 04/19/21 08/16/19 08/16/19
Automated Percutaneous and Percutaneous Endoscopic Discectomy 08/21/20 06/09/17 06/09/17
Balloon Dilation of the Eustachian Tube 06/03/21 06/03/21 06/03/21
Balloon Sinuplasty for Treatment of Chronic Sinusitis 04/19/21 11/11/16 11/11/16
Bio-Engineered Skin and Soft Tissue Substitutes 07/01/20 11/26/19 11/26/19
Bone Mineral Density Studies 04/16/21 04/16/21 04/16/21
Botulinum Toxin (BT) 09/18/20 10/18/20 10/18/20
Breast Reconstructive Surgery After Mastectomy 03/18/21 01/13/21 01/13/21
Bronchial Thermoplasty 08/21/20 02/10/11 03/14/11
Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting 06/19/19 09/03/16 09/03/16
Cardiac Rehabilitation in the Outpatient Setting 03/23/21 08/18/17 08/18/17
Catheter Ablation as Treatment for Atrial Fibrillation 03/23/21 08/28/19 08/28/19
Chelation Therapy for Off-Label Uses 04/16/21 08/19/16 08/19/16
Chronic Intermittent Intravenous Insulin Therapy 03/11/21 12/09/16 12/09/16
Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy) 04/01/21 02/27/21 02/27/21
Circulating Tumor DNA Management of Non-Small Cell Lung Cancer (Liquid Biopsy) 04/01/21 03/29/21 03/29/21
Cochlear Implant 05/14/21 05/14/21 05/14/21
Comprehensive Genomic Profiling for Selecting Targeted Cancer Therapies
replaces Expanded Molecular Panel Testing of Cancers to Identify Targeted Therapies
05/11/21 03/05/21 03/05/21
Computed Tomography (CT) to Detect Coronary Artery Calcification 04/16/21 11/14/08 11/14/08
Continuous Glucose Monitoring Systems 02/25/21 10/15/20 10/15/20
Continuous Passive Motion in the Home Setting 05/07/21 06/07/21 06/07/21
Contrast-Enhanced Coronary Computed Tomography Angiography (CCTA) for Coronary Artery Evaluation 05/22/20 12/21/16 12/21/16
Corneal Collagen Cross-Linking 05/05/21 08/01/18 08/01/18
Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy 06/01/21 09/13/19 09/13/19
Coronary Computed Tomography Angiography with Selective Noninvasive Fractional Flow Reserve 08/14/19 08/14/19 08/14/19
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors 04/19/21 03/04/19 03/04/19
Cryosurgical Ablation of Primary or Metastatic Liver Tumors 02/24/21 06/12/15 06/12/15
Cytochrome p450 Genotype-Guided Treatment Strategy
02/09/21 03/10/21 03/10/21
Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies 05/05/21 04/12/19 04/12/19
Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty) 06/03/21 02/08/10 02/08/10
Deep Brain Stimulation 08/21/20 05/24/17 05/24/17
Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome 05/21/21 06/21/21 06/21/21
Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome 04/16/21 01/01/20 01/01/20
Diagnosis and Treatment of Sacroiliac Joint Pain 01/15/21 01/15/21 01/15/21
Drug Testing in Pain Management and Substance Use Disorder Treatment 04/21/21 05/21/21 05/21/21
Dry Needling of Myofascial Trigger Points 08/21/20 01/01/17 01/01/17
Dynamic Posturography 04/16/21 06/10/16 06/10/16
Electrical Bone Growth Stimulation of the Appendicular Skeleton 02/01/21 10/17/16 10/17/16
Electrical Stimulation Devices for Home Use 04/01/21 09/05/16 09/05/16
Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures 06/03/21 06/09/17 06/09/17
Electromyography (EMG), Nerve Conduction Studies (NCS), and Other Electrodiagnostic (EDX) Related Services 02/01/21 03/01/21 03/01/21
Electronic Brachytherapy for Nonmelanoma Skin Cancer 04/19/21 09/14/17 09/14/17
Endoscopic Radiofrequency Ablation or Cryoablation for Barrett Esophagus 02/26/21 03/29/21 03/29/21
Enhanced External Counterpulsation (EECP) 03/23/21 11/01/07 11/01/07
Esophageal pH Monitoring 02/24/21 01/30/19 01/30/19
Extracorporeal Shock Wave Therapy (ESWT) for Plantar Fasciitis and Other Musculoskeletal Conditions 03/11/21 08/10/17 08/10/17
Extracranial Carotid Artery Stenting 10/01/20 10/25/17 10/25/17
Eye Movement Desensitization and Reprocessing (EMDR) for Acute Stress Disorder and Post Traumatic Stress Disorder (PTSD) 04/16/21 11/01/07 11/01/07
Facet Joint Denervation 01/15/21 01/15/21 01/15/21
Foot Care Services 02/25/21 06/07/13 06/07/13
Fundus Photography 10/01/20 08/15/19 08/15/19
Gastric Electrical Stimulation 04/16/21 12/02/13 12/02/13
Gene Expression-Based Assays for Cancers of Unknown Primary 05/05/21 01/01/16 01/01/16
Gene Expression Profile Testing and Circulating Tumor DNA Testing for Predicting Recurrence in Colon Cancer
replaces Multigene Expression Assay for Predicting Recurrence in Colon Cancer
02/10/21 03/10/21 03/10/21
Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management 04/14/21 04/15/19 04/15/19
Gene Expression Profiling for Cutaneous Melanoma 03/11/21 07/23/18 07/23/18
Gene Expression Profiling for Uveal Melanoma 03/23/21 03/15/17 03/15/17
General Approach to Evaluating the Utility of Genetic Panels 03/18/21 03/25/16 03/25/16
General Approach to Genetic Testing 02/10/21 02/10/21 02/10/21
Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer 05/07/21 05/07/21 05/07/21
Genetic Cancer Susceptibility Panels Using Next Generation Sequencing 05/14/21 05/14/21 05/14/21
Genetic Testing for BRCA1 or BRCA2 for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers
replaces BRCA1 and BRCA2 Testing
03/16/21 04/16/21 04/16/21
Genetic Testing for Cardiac Ion Channelopathies 02/26/21 03/29/21 03/29/21
Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndromes 04/21/21 05/21/21 05/21/21
Genetic Testing for Marfan Syndrome, Thoracic Aortic Aneurysms and Dissections, and Related Disorders 05/14/21 05/14/21 05/14/21
Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy 05/05/21 05/11/18 05/11/18
Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies 02/18/21 02/15/18 02/15/18
Genotype-Guided Tamoxifen Treatment 04/16/21 11/09/16 11/09/16
Genotype-Guided Warfarin Dosing 02/10/21 03/15/21 03/15/21
High-Sensitivity C-Reactive Protein 02/10/21 01/30/12 01/30/12
Homocysteine Testing 04/16/21 07/01/19 07/01/19
Human Growth Hormone 10/01/20 01/01/20 01/01/20
Hydrogel Spacer use During Radiotherapy for Prostate Cancer 06/01/21 06/01/21 06/01/21
Hyperbaric Oxygen Therapy (HBOT) 03/16/21 04/26/19 04/26/19
Identification of Microorganisms Using Nucleic Acid Testing 05/07/21 06/07/21 06/07/21
Implantable Bone-Conduction and Bone-Anchored Hearing Aids 05/14/21 05/14/21 05/14/21
Implantable Cardioverter Defibrillators 05/14/21 07/11/17 07/11/17
Implanted Peripheral Nerve Stimulator (PNS) for Pain Control 04/16/21 04/01/16 04/01/16
Influenza Virus Diagnostic Testing and Treatment in the Outpatient Setting 05/14/21 03/01/20 03/01/20
Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence 04/23/21 03/13/20 03/13/20
Insulin Pump 04/19/21 03/31/16 N/A
Intensity Modulated Radiotherapy (IMRT) 06/12/20 06/12/20 06/12/20
Interspinous and Interlaminar Stabilization / Distraction Devices (Spacers) 06/03/21 02/01/19 02/01/19
Interspinous Fixation (Fusion) Devices 04/16/21 01/23/15 01/23/15
Intra-Articular Hyaluronan Injections for Osteoarthritis 04/19/21 07/22/16 07/22/16
Intravenous and Subcutaneous Immune Globulin Therapy 04/01/21 03/15/21 03/15/21
Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease 02/25/21 02/01/17 02/01/17
In Vitro Chemoresistance and Chemosensitivity Assays 04/23/21 05/23/21 05/23/21
Keratoprosthesis 05/05/21 10/25/19 10/25/19
KIF6 Genotyping for Predicting Cardiovascular Risk and/or Effectiveness of Statin Therapy 08/21/20 03/10/11 04/11/11
KRAS, NRAS, and BRAF Variant Analysis in Metastatic Colorectal Cancer 04/01/21 04/30/21 04/30/21
Laboratory Tests for Heart and Kidney Transplant Rejection 05/18/20 12/20/18 12/20/18
LASIK (laser assisted in situ keratomileusis) 05/14/21 02/15/07 12/01/07
Low Intensity Pulsed Ultrasound Fracture Healing Device
replaces Ultrasound Accelerated Fracture Healing Device
05/07/21 05/07/21 05/07/21
Low-Level Laser Therapy 04/19/21 11/12/18 11/12/18
Lumbar Spinal Fusion 04/19/21 08/15/18 08/15/18
Magnetic Resonance Imaging (MRI) of the Breast 05/22/20 07/08/15 07/08/15
Magnetic Resonance Spectroscopy 05/18/20 02/14/05 07/16/09
Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders 04/19/21 03/13/19 03/13/19
Measurement of Lipoprotein-Associated Phospholipase A2 in the Assessment of Cardiovascular Risk 03/11/21 03/13/09 03/13/09
Measurement of Serum Antibodies to Selected Biologic Agents 02/10/21 03/15/21 03/15/21
Meniscal Allografts and Other Meniscus Implants 04/19/21 08/28/19 08/28/19
Microprocessor-Controlled Prostheses for the Lower Limb 04/01/21 01/01/21 01/01/21
Microwave Tumor Ablation 01/13/21 01/13/21 01/13/21
Miscellaneous Genetic and Molecular Diagnostic Tests 05/14/21 10/12/18 10/12/18
Molecular Analysis for Targeted Therapy or Immunotherapy of Non-Small-Cell Lung Cancer 02/26/21 03/29/21 03/29/21
Molecular Markers in Fine Needle Aspiration of the Thyroid 04/01/21 08/28/19 08/28/19
Molecular Testing for the Management of Pancreatic Cysts, Barrett’s Esophagus, and Solid Pancreaticobiliary Lesions 05/14/21 05/14/21 05/14/21
Monitored Anesthesia Care 03/09/21 01/01/17 01/01/17
Myocardial Strain Imaging 05/18/20 05/18/20 05/18/20
Myoelectric Prosthetic Components for the Upper Limb 05/05/21 01/01/21 01/01/21
Non-invasive Positive Pressure Ventilation for Patients with Chronic Obstructive Pulmonary Disease (COPD) 05/21/21 10/25/19 10/25/19
Noninvasive Prenatal Screening for Fetal Aneuploidies, Microdeletions, and Twin Zygosity Using Cell-Free Fetal DNA 04/23/21 05/23/21 05/23/21
Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease 02/25/21 03/13/19 03/13/19
Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease 03/11/21 03/28/18 03/28/18
Off-Label, Approved Orphan, and Expanded Access (Compassionate Use) Drugs 02/10/21 12/07/15 12/07/15
Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures) 05/05/21 08/08/18 08/08/18
Optical Coherence Tomography (OCT) of the Anterior Eye Segment 06/01/21 06/01/21 06/01/21
Orthopedic Applications of Platelet-Rich Plasma 05/14/21 10/29/15 10/29/15
Orthopedic Applications of Stem Cell Therapy (Including Allograft and Bone Substitute Products Used With Autologous Bone Marrow) 02/25/21 02/18/19 02/18/19
Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders 04/19/21 08/17/18 08/17/18
Outpatient Pulmonary Rehabilitation 05/05/21 07/20/16 07/20/16
Pachymetry 10/01/20 08/19/15 08/19/15
Panniculectomy and Abdominoplasty 02/24/21 03/07/11 03/07/11
Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation 04/23/21 04/23/21 04/23/21
Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty 08/21/20 02/15/17 02/15/17
Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation 10/04/19 08/08/18 08/08/18
Percutaneous Vertebroplasty and Sacroplasty 04/23/21 05/23/21 05/23/21
Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR) 02/25/21 08/17/10 09/16/10
Pharmacogenomic and Metabolite Markers for Patients Treated with Thiopurines 03/16/21 04/16/21 04/16/21
Photodynamic Therapy for Choroidal Neovascularization 05/07/21 07/01/17 07/01/17
Plugs for Anal Fistula Repair 02/24/21 12/14/15 12/14/15
Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers (for Home Use) 05/05/21 04/28/17 04/28/17
Positron Emission Tomography (PET) Scanning: Cardiac Applications 05/18/20 11/26/18 11/26/18
Positron Emission Tomography (PET) Scanning: In Oncology to Detect Early Response During Treatment 06/12/20 11/26/18 11/26/18
Positron Emission Tomography (PET) Scanning: Miscellaneous (Non-cardiac, Non-Oncologic) Applications of Fluorine 18 Fluorodeoxyglucose 06/12/20 11/26/18 11/26/18
Positron Emission Tomography (PET) Scanning: Oncologic Applications 04/23/21 05/23/21 05/23/21
Posterior Tibial Nerve Stimulation 02/24/21 08/08/18 08/08/18
Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis 05/05/21 12/01/16 12/01/16
Progesterone Therapy as a Technique to Reduce Preterm Birth in High-Risk Pregnancies 04/23/21 05/23/21 05/23/21
Prostatic Urethral Lift 02/24/21 11/07/18 11/07/18
Proteomic Testing for Systemic Therapy in Non-Small-Cell Lung Cancer 04/01/21 04/16/21 04/16/21
Radioembolization for Primary and Metastatic Tumors of the Liver 04/19/21 03/10/16 03/10/16
Radiofrequency Ablation (RFA) of Miscellaneous Solid Tumors Excluding Liver Tumors 02/24/21 12/07/18 12/07/18
Radiofrequency Ablation of Primary or Metastatic Liver Tumors 01/19/21 01/19/21 01/19/21
Real-Time Intrafraction Motion Management During Radiotherapy 02/24/21 03/01/19 03/01/19
Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non‒Orthopedic Conditions 03/23/21 03/01/18 03/01/18
Reduction Mammaplasty for Breast-Related Symptoms 05/14/21 01/20/17 01/20/17
Risk-Reducing Mastectomy 04/19/21 10/28/17 10/28/17
Sacral Nerve Neuromodulation / Stimulation 04/23/21 05/23/21 05/23/21
Scanning Computerized Ophthalmic Diagnostic Imaging Devices 05/05/21 09/27/19 09/27/19
Scintimammography and Gamma Imaging of the Breast and Axilla 05/22/20 10/26/16 10/26/16
Screening for Lung Cancer Using CT Scanning 02/09/21 02/18/19 02/18/19
Sensorimotor and Neurobehavioral Status Exams for Optometric Providers 04/16/21 01/01/06 N/A
Serologic Diagnosis of Celiac Disease 02/24/21 03/28/12 03/28/12
Serum Antibodies for the Diagnosis of Inflammatory Bowel Disease 02/10/21 03/28/11 03/28/11
Sex Reassignment Surgery 03/18/21 01/01/17 01/01/17
Site of Care Infusion Management 12/01/20 01/01/21 01/01/21
Sphenopalatine Ganglion Block for Headache 02/26/21 11/13/17 11/13/17
Spinal Cord and Dorsal Root Ganglion Stimulation 04/16/21 08/28/19 08/28/19
Stereotactic Radiosurgery and Stereotactic Body Radiotherapy 04/28/21 03/29/21 03/29/21
Surgical Deactivation of Headache Trigger Sites 04/21/21 05/21/21 05/21/21
Surgical Treatment of Femoroacetabular Impingement 04/19/21 05/24/17 05/24/17
Surgical Treatment of Gynecomastia 04/16/21 03/15/12 03/15/12
Surgical Treatment of Snoring and Obstructive Sleep Apnea (OSA) Syndrome 04/19/21 09/13/19 09/13/19
Temporomandibular Joint (TMJ) Disorder 08/14/19 08/14/19 08/14/19
Testing for Vitamin D Deficiency 04/19/21 06/10/16 06/10/16
Total Ankle Replacement 02/01/21 06/29/10 07/29/10
Total Artificial Hearts and Ventricular Assist Devices 04/01/21 03/29/17 03/29/17
Transcatheter Aortic Valve Implantation for Aortic Stenosis 01/27/21 02/27/21 02/27/21
Transcatheter Arterial Chemoembolization (TACE) to Treat Primary or Metastatic Liver Malignancies 04/23/21 05/23/21 05/23/21
Transcranial Magnetic Stimulation (TMS) 04/16/21 05/22/20 05/22/20
Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease 03/23/21 07/21/15 07/21/15
Treatment for Duchenne Muscular Dystrophy 05/21/21 06/21/21 06/21/21
Treatment for Duchenne Muscular Dystrophy 04/21/21 05/21/21 05/21/21
Treatment of Hyperhidrosis 02/10/21 03/15/21 03/15/21
Treatment of Tinnitus 05/28/21 06/28/21 06/28/21
Treatment of Tinnitus 07/01/19 08/01/19 08/01/19
Tumor Treating Fields Therapy 04/19/21 09/27/19 09/27/19
Ultrafiltration in Heart Failure 03/23/21 09/03/14 09/03/14
Ultraviolet Light Therapy for Skin Conditions 04/23/21 05/23/21 05/23/21
Vacuum Assisted Wound Closure (VAC) 05/07/21 06/23/17 06/23/17
Vagus Nerve Stimulation 04/16/21 12/21/17 12/21/17
Varicose Veins 04/19/21 09/13/19 09/13/19
Video EEG Monitoring 05/07/21 06/07/21 06/07/21
Virtual Colonoscopy / CT Colonography 05/22/20 05/22/20 05/22/20
Wearable Cardioverter Defibrillators 03/23/21 08/04/16 08/04/16
Wireless Capsule Endoscopy to Diagnose Disorders of the Small Bowel, Esophagus, and Colon 02/24/21 01/04/19 01/04/19
Zolgensma 01/07/21 01/01/21 01/01/21

Dental Policies

The dental policies listed below do not contain coding information. An Availity login is required to access the dental policies with full coding information. Access Availity for dental policies with full coding information here.

Policy Title PDF Files Date Posted Professional Effective Date Institutional Effective Date
Cone Beam Computed Tomography (CBCT) 05/21/21 05/21/21 05/21/21
Periodontal Soft Tissue Grafting 05/21/21 06/27/11 06/27/11
Temporomandibular Joint (TMJ) Disorder 06/03/21 07/06/21 07/06/21
Temporomandibular Joint (TMJ) Disorder 08/14/19 08/14/19 08/14/19

Archived Policies

No review or update is scheduled on these Medical Policies. If there are questions about coverage of this service, please contact Blue Cross and Blue Shield of Kansas customer service, your professional or institutional relations representative, or submit a predetermination request.

Policy Title PDF Files Date Posted Archived Date
Actigraphy 08/14/19 08/14/19
Acute and Maintenance Tocolysis 11/07/18 11/07/18
Automated Point-of-Care Devices for Nerve Conduction Testing 05/14/21 05/14/21
Axial Lumbosacral Interbody Fusion 01/01/19 08/24/18
Cardiac Computed Tomography (CT) 04/15/21 04/15/21
Cardiovascular Magnetic Resonance (CMR) 07/03/19 07/03/19
Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions 03/09/21 03/09/21
Computed Tomographic Angiography (CTA) and
Magnetic Resonance Angiography (MRA) of the Head, Neck, Abdomen, Pelvis, and Lower Extremities
05/24/21 05/24/21
Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis 03/09/21 03/09/21
Fetal Fibronectin 02/18/21 02/18/21
Identification of Periodontal Microorganisms (dental policy, no coding information) 10/01/18 10/01/18
Image-Guided Minimally Invasive Decompression for Spinal Stenosis 06/11/19 06/11/19
Lysis of Epidural Adhesions 06/03/21 06/03/21
Serum Tumor Markers for Breast Malignancies 03/23/21 03/23/21
Small Bowel/Liver and Multivisceral Transplant 03/09/21 03/09/21
Subtalar Arthroereisis 06/11/19 06/11/19
Total Facet Arthroplasty 06/11/19 06/11/19
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease 03/23/21 03/23/21
Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis 08/14/19 08/14/19