Medical Policy Updates

Notification of Policy Revisions Effective March 16, 2010 (Posted December 7, 2009)

Medical Policy	Revision
Transcatheter Closure of Ventricular Septal Defects	Added the following policy statement: "BCBSNC will not provide coverage for transmyocardial/ perventricular closure of ventricular septal defects. It is considered investigational and BCBSNC does not cover investigational services." Description of transmyocardial/perventricular closure added to Description Section. The following statement added to the Not Covered section: Transmyocardial (perventricular) transcatheter closure of ventricular septal defects with implants is considered investigational. Information added to Policy Guidelines section. Specialty Matched Consultant Advisory Panel review meeting 10/30/09. Notification 12/7/09 for effective date 3/16/10.

Medical Policy

Revision

Transcatheter Closure of Ventricular Septal Defects

Added the following policy statement: "BCBSNC will not provide coverage for transmyocardial/ perventricular closure of ventricular septal defects. It is considered investigational and BCBSNC does not cover investigational services." Description of transmyocardial/perventricular closure added to Description Section. The following statement added to the Not Covered section: Transmyocardial (perventricular) transcatheter closure of ventricular septal defects with implants is considered investigational. Information added to Policy Guidelines section. Specialty Matched Consultant Advisory Panel review meeting 10/30/09. Notification 12/7/09 for effective date 3/16/10.