Published October 2024
Below is a recap of the Medical Policies that went into effect recently. All policies are reviewed at least once annually. For more detailed information on these changes, please review 2024 FastFaxesor visit all policies here.
Effective August 1, 2024
- Ambulatory Holter Monitors and 30-day Cardiac Event Recorders/Monitors
- Bariatric Surgery
- Chiropractic Care
- Compression Devices
- Continuous Passive Motion Devices
- Emergency Department Services
- Evaluation of New Technology, Procedures, Behavioral Health Services and Programs
- Fluorescence in Situ Hybridization (FISH) Testing for Bladder Cancer
- Gas Permeable Scleral Contact Lens
- Insulin Infusion Pumps (External Continuous Subcutaneous)
- Investigational Procedures, Devices, Medical Treatments, and Tests
- Magnetoencephalography and Magnetic Source Imaging
- Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures
- Molecular Markers in Fine Needle Aspirates of the Thyroid
- Obstructive Sleep Apnea: Diagnosis and Other Sleep Disorders
- Panniculectomy and Abdominoplasty
- Personalized Recovery Oriented Services (PROS)
- Private Duty Nursing
- Rhinoplasty
- Sinus Surgery – Endoscopic
- Speech Therapy (Outpatient) and Cognitive Rehabilitation
- Surgical Procedures for Glaucoma
Effective October 1, 2024
- Breast Reduction Surgery (Reduction Mammaplasty)
- Cell-Free Fetal DNA-Based Prenatal Screening for Fetal Aneuploidy
- Continuous Glucose Monitoring
- Endobronchial Valve Devices
- Imaging Procedures
- Infertility Services (Advanced and In Vitro Fertilization)
- Infertility Services (Basic)
- Investigational Procedures, Devices, Medical Treatments, and Tests
- Liposuction for Lipedema
- Obstructive Sleep Apnea: Surgical Procedures
- Oncotype DX and other Cancer Gene Expression Tests
- Percutaneous Left Atrial Appendage (LAA) Closure Devices
- Preimplantation Genetic Testing (PGT)
- Private Duty Nursing
- Prostate Cancer Interventions
- Solid Organ Transplant Rejection Testing
Policy Updates
Review other articles in this issue regarding formulary, pharmacy policy, and medical policy updates.