Medical Policy Updates

Notification of Policy Revisions Effective February 2, 2010 (Posted October 26, 2009)

Medical Policy	Revision
Enhanced External Counterpulsation (EECP)	Policy statement changed to read: "BCBSNC will not provide coverage for enhanced external counterpulsation. It is considered investigational and BCBSNC does not cover investigational services." Information in the When EECP Is Covered section deleted and replace with the statement, "not applicable." Information in the When EECP Is Not Covered section replaced with the statement, "Enhanced external counterpulsation is considered investigational for all indications, including but not limited to, treatment of chronic stable angina pectoris, congestive heart failure, erectile dysfunction, or ischemic stroke." Rationale in the Policy Guidelines section updated with BCBSA TEC Assessment and Medicare information. Use of EECP in patients who meet the Medicare coverage criteria noted above may be approved on an individual consideration basis. Notification given 10/26/09. Effective date 2/02/10.

Medical Policy

Revision

Enhanced External Counterpulsation (EECP)

Policy statement changed to read: "BCBSNC will not provide coverage for enhanced external counterpulsation. It is considered investigational and BCBSNC does not cover investigational services." Information in the When EECP Is Covered section deleted and replace with the statement, "not applicable." Information in the When EECP Is Not Covered section replaced with the statement, "Enhanced external counterpulsation is considered investigational for all indications, including but not limited to, treatment of chronic stable angina pectoris, congestive heart failure, erectile dysfunction, or ischemic stroke." Rationale in the Policy Guidelines section updated with BCBSA TEC Assessment and Medicare information. Use of EECP in patients who meet the Medicare coverage criteria noted above may be approved on an individual consideration basis. Notification given 10/26/09. Effective date 2/02/10.