Medical Policy Updates

Table Of Contents

Notification of Policy Revisions Effective December 28, 2007 (Posted January 28, 2007)

Medical Policy Revision
Brachytherapy, Intracavitary Balloon Catheter for Brain Cancer New policy adopted. Reviewed with Medical Director 12/12/2007. BCBSNC will not provide coverage for Brachytherapy, Intracavitary Balloon Catheter For Brain Cancer. It is considered investigational.
Code Bundling Rules Not Addressed in Claim Check Added the following statement, "Other Central Venous Access procedures for collection of blood specimens from a completely implantable venous access device (36591) and collection of blood specimen using established central or peripheral catheter, venous, not otherwise specified (36592) will be considered incidental to Evaluation and Management services, Surgical services and Laboratory services." under the section retitled from "Venipuncture" to "Venipuncture and Other Central Venous Access". Removed code 36540 that was terminated on 12/31/2007. Removed the section, "Cessation Counseling for Smoking and Tobacco Use" because code G0375 and G0376 were terminated on 12/31/2007.
Lung Cancer Screening, CT Scanning or Chest Radiographs CPT Codes updated. Deleted code 0152T from the Billing/Coding section and added codes 0174T and 0175T.
Rehabilitative Therapies CPT code S8940 added to Billing/Coding section.