Log In
Medical Policy Update for August 29, 2023
| Medical Guidelines | Reason for Update |
|---|---|
| Abdominoplasty and Panniculectomy (PDF) | References updated. Specialty Matched Consultant Review 8/2023. Medical Director review 8/2023. No change to policy statement. |
| Absorbable Nasal Implant for Treatment of Nasal Valve Collapse (PDF) | References updated. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. |
| Breast Surgeries (PDF) | Updated Related Policies section. References updated. Updated “When Reduction Mammaplasty is covered” section D to change “risk factor” to “contributing factor”. Updated “Reconstructive Breast Surgery After Mastectomy” description. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. No change to policy statement. |
| Colorectal Cancer Screening AHS-B0001 (PDF) | Reviewed by Avalon Q1 2023 CAB. No changes to policy statement. |
| Composite Allotransplantation of the Hand and Face (PDF) | References updated. Specialty Matched Consultant Advisory Panel 8/2023. Medical Director review 8/2023. No change to policy statement. |
| Extracorporeal Photopheresis (PDF) | Specialty Matched Consultant Advisory Panel review 8/16/2023. Updated description section. References added. No change to policy statement. |
| Laser Treatment of Port Wine Stains (PDF) | References updates. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. No change to policy statement. |
| Microarray-Based Gene Expression Profile Testing for Multiple Myeloma Risk Stratification AHS-B0002 (PDF) | General review per Avalon CAB Q2 2023. Medical Director review 8/2023. No change to policy statement. |
| Reconstructive Eyelid Surgery and Brow Lift (PDF) | Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. References updated. No change to policy statement. |
| Rhinoplasty (PDF) | Updated references. Added Related Policy. Minor edit to the Policy Guidelines. No change to policy intent. Deleted terminated code C9749 from Billing/Coding section. Medical Director Review 8/2023. Specialty Matched Consultant Advisory Panel 8/2023. |
| Septoplasty (PDF) | Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. Updated references. Added Related Policy. |
| Skin and Soft Tissue Substitutes (PDF) | References updated. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. No changes to policy statement. |
| Sleep Apnea: Diagnosis and Medical Management (PDF) | When covered section updated for clarity. References added. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. No change to policy statement. |
| Surgery for Obstructive Sleep Apnea and Upper Airway Resistance Syndrome (PDF) | References updated. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. No change to policy statement. |
| Surgical Treatment for Lipedema (PDF) | References updated. Medical Director review 8/2023. Specialty Matched Consultant Advisory Panel Review 8/2023. No change to policy statement. |
| Surgical Treatment of Chest Wall Deformities (Congenital or Acquired) (PDF) | Specialty Matched Consultant Advisory Panel 8/2023. Medical Director review 8/2023. References updated. No change to policy statement. |
| Tinnitus Treatment (PDF) | Reference added. Description section updated to include related policies, Minor edits to Policy Guidelines. No change to policy intent. Specialty Matched Consultant Advisory Panel review 8/2023. Medical Director review 8/2023. |
| Tumor-Treatment Fields Therapy (PDF) | Specialty Matched Consultant Advisory Panel review 8/16/2023. Updated description policy guidelines and references. No change to policy statement. |
Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.
Information in other languages: Español 中文 Tiếng Việt 한국어 Français العَرَبِيَّة Hmoob ру́сский Tagalog ગુજરાતી ភាសាខ្មែរ Deutsch हिन्दी ລາວ 日本語
© 2024 Blue Cross and Blue Shield of North Carolina. ®, SM Marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. All other marks and names are property of their respective owners. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association.