Medical Policy Updates

Table Of Contents

Notification of Policy Revisions Effective October 15, 2013 (Posted August 13, 2013)

Medical Policy Revision
Bundling Guidelines - "Notification" The following statement was added to the subsection regarding New Visit Frequency: "BCBSNC will replace a code billed for a subsequent office or other outpatient consultation within 6 months of the initial office or other outpatient consultation by the same provider for the same member with the appropriate level of established office visit." Code equivalents for crosswalk also added. Notification given 8/13/13 for effective date 10/15/13.
Cochlear Implant - "Notification" Reference added. Medical Director review. Policy statement added that cochlear implantation as a treatment for patients with unilateral hearing loss with or without tinnitus is considered investigational. Summary statement added. Notification given 8/13/13 for policy effective date 10/15/13.
Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathy - "Notification" New policy implemented. Genetic testing to confirm a clinical diagnosis of an inherited peripheral neuropathy is considered investigational. Genetic testing for an inherited peripheral neuropathy is considered investigational for all indications. Medical Director review 7/2013. Notification given August 13, 2013 for effective date October 15, 2013.