Site Activity
This page provides a monthly listing of publication activity on the Medical Policy Portal including Policy Notifications, New Policies, Updated Policies, Coding Updates, Reissued Policies, and Archived Policies. To view publication activity from prior months, select Past Site Activity.

Past Site Activity
 
                                                                                                        

Notifications
The following Independence Blue Cross Medicare Advantage policies have been posted prior to their effective date.
MA09.002L, High-Technology Radiology Services
Notification: 11/11/2019 (Revised - 01/02/2020) | Effective: 02/09/2020 | Posted: 11/11/2019
Type of policy change: Medical Necessity Criteria

MA07.058h, Sleep Disorder Testing and Positive Airway Pressure Therapy Services and Supplies
Notification: 11/27/2019 | Effective: 02/09/2020 | Posted: 11/27/2019
Type of policy change: Medical Necessity Criteria


Updated Policies
The following Medicare Advantage policies have been reviewed and updated to communicate current coverage and/or reimbursement positions, reporting requirements, and other procedures for doing business with Independence Blue Cross.
MA05.040b, Coverage of Medical Devices
Effective: 11/04/2019 | Posted: 11/04/2019
Type of policy change: General Description, Guidelines, or Informational Update

MA05.016f, Home Prothrombin Time Monitoring
Effective: 11/04/2019 | Posted: 11/04/2019
Type of policy change: Coverage and/or Reimbursement Position; Medical Coding

ma11.057a, Use of a Robotic-Assisted Surgical System
Effective: 11/04/2019 | Posted: 11/04/2019
Type of policy change: General Description, Guidelines, or Informational Update

MA09.002j, High-Technology Radiology Services
Notification: 08/16/2019 | Effective: 11/10/2019 | Posted: 11/11/2019
Type of policy change: Medical Necessity Criteria

MA05.053g, Implantable and External Infusion Pumps
Effective: 11/18/2019 | Posted: 11/18/2019
Type of policy change: Coverage and/or Reimbursement Position; Medical Coding; General Description, Guidelines, or Informational Update

MA11.008d, Refractive Keratoplasty
Effective: 11/18/2019 | Posted: 11/18/2019
Type of policy change: Medical Necessity Criteria

MA09.004b, Contrast Agents Used in Conjunction with Echocardiography
Effective: 11/18/2019 (Revised on 03/05/2020) | Posted: 11/18/2019
Type of policy change: Medical Coding

MA07.004e, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Effective: 11/18/2019 | Posted: 11/18/2019
Type of policy change: Coverage and/or Reimbursement Position

MA09.010b, Magnetic Resonance Imaging (MRI) Contrast Agents
Effective: 11/18/2019 | Posted: 11/18/2019
Type of policy change: Medical Coding


Reissue Policies
The following Medicare Advantage policies have been reviewed, and no substantive changes were made.
MA11.007, Islet Cell Transplantation
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA08.086d, Nusinersen (Spinraza®)
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA05.025c, Pressure-Reducing Support Surfaces
Reissue Effective: 11/6/2019 | Reissue Posted: 11/07/2019

MA11.075a, Rhytidectomy and/or Cervicoplasty With or Without Liposuction and/or Platysmaplasty
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA02.003a, Home Health Care Services
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA07.030b, Photodynamic Therapy (PDT) Using Porfimer Sodium (Photofrin®)
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA07.006a, Fecal Microbiota Transplantation (FMT)
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA06.018a, Immune Cell Function Assay
Reissue Effective: 10/07/2019 | Reissue Posted: 11/07/2019

MA08.092a, Edaravone (Radicava™)
Reissue Effective: 11/06/2019 | Reissue Posted: 11/07/2019

MA06.010b, Genetic Testing for Inherited Breast Cancer 1 (BRCA1) and Breast Cancer 2 (BRCA2) Mutations
Reissue Effective: 11/07/2019 | Reissue Posted: 11/07/2019

MA07.044b, Measurement of Exhaled Nitric Oxide and Breath Condensate in the Diagnosis and Management of Asthma and Other Respiratory Disorders
Reissue Effective: 11/07/2019 | Reissue Posted: 11/07/2019

MA06.017q, Molecular Diagnostics
Reissue Effective: 11/07/2019 | Reissue Posted: 11/07/2019

MA00.023a, Inpatient Hospital Readmission
Reissue Effective: 11/20/2019 | Reissue Posted: 11/20/2019

MA00.022, Intravenous (IV) Administration of Fluids as a Treatment of a Medical Condition or for the Preparation of Pharmaceuticals, Biologics, and other Substances
Reissue Effective: 11/20/2019 | Reissue Posted: 11/20/2019

MA07.017c, Hyperthermic Intraperitoneal Chemotherapy for Select IntraAbdominal and Pelvic Malignancies
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA05.027, Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) for Treating Life-threatening Ventricular Tachyarrhythmia
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA07.021b, Partial Coherence Interferometry
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA07.039a, Magnetoencephalography (MEG) with Magnetic Source Imaging (MSI)
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA07.046e, Corneal Pachymetry Using Ultrasound
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA07.018a, Anorectal Manometry, Electromyography (EMG) of Anorectal or Urethral Sphincters; Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA07.033f, Nerve Conduction Studies (NCS) and Related Electrodiagnostic Studies
Reissue Effective: 11/21/2019 | Reissue Posted: 11/21/2019

MA07.050f, Electromyography (EMG) Studies: Needle EMG, Surface EMG (SEMG)
Reissue Effective: 11/22/2019 | Reissue Posted: 11/22/2019

MA11.063a, Photocoagulation of Macular Drusen
Reissue Effective: 11/22/2019 | Reissue Posted: 11/22/2019

MA11.013b, Percutaneous Left Atrial Appendage (LAA) Closure for Non-Valvular Atrial Fibrillation (NVAF)
Reissue Effective: 11/22/2019 | Reissue Posted: 11/22/2019

MA07.051e, Intraoperative Neurophysiological Testing
Reissue Effective: 11/22/2019 | Reissue Posted: 11/22/2019










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