Medical Policy Updates

Notification of Policy Revisions Effective January 19, 2010 (Posted October 12, 2009)

Medical Policy	Revision
Brachytherapy Treatment of Breast	Specialty Matched Consultant Advisory Panel review 8/28/09. "Description" section revised. Added an additional indication under the "When Not Covered" section to state; "Accelerated partial breast irradiation using an electronic radiotherapy device is considered investigational." Updated the rationale in the "Policy Guidelines" section. Removed "3-D conformal external beam radia¬tion" from the "Definitions" section. References added. Notice given 10/12/09. Policy effective 1/19/2010.

Medical Policy

Revision

Brachytherapy Treatment of Breast

Specialty Matched Consultant Advisory Panel review 8/28/09. "Description" section revised. Added an additional indication under the "When Not Covered" section to state; "Accelerated partial breast irradiation using an electronic radiotherapy device is considered investigational." Updated the rationale in the "Policy Guidelines" section. Removed "3-D conformal external beam radia¬tion" from the "Definitions" section. References added. Notice given 10/12/09. Policy effective 1/19/2010.