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
 
                                                                                                        

New Policies
The following Medicare Advantage policies have been newly developed to communicate coverage and/or reimbursement positions, reporting requirements, and other processes and procedures for doing business with Independence Blue Cross.
MA11.107, Implantable Steroid-Eluting Sinus Stents
Notification: 11/06/2015 | Effective: 02/04/2016 | Posted: 02/04/2016
Type of policy change: This is a new policy.

MA08.078, Sebelipase alfa (Kanuma®)
Effective: 02/24/2016 | Posted: 02/24/2016
Type of policy change: This is a new policy.


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.
MA11.027b, Transcatheter Aortic Valve Replacement (TAVR) and Transcatheter Mitral Valve Repair (TMVR)
Effective: 02/03/2016 | Posted: 02/03/2016
Type of policy change: General Description, Guidelines, or Informational Update

MA08.011b, Erythropoiesis Stimulating Agents (ESAs)
Notification: 01/11/2016 | Effective: 02/08/2016 | Posted: 02/08/2016
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update

MA11.001a, Treatment of Varicose Veins of the Lower Extremities and Perforator Vein Incompetence
Notification: 01/11/2016 | Effective: 02/10/2016 | Posted: 02/11/2016
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update

MA11.095a, Lysis of Epidural Adhesions
Effective: 02/24/2016 | Posted: 02/24/2016
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

MA00.005e, Experimental/Investigational Services
Effective: 01/01/2016 | Posted: 02/24/2016


Reissue Policies
The following Medicare Advantage policies have been reviewed, and no substantive changes were made.
MA11.031c, Spinal Cord Stimulation (Dorsal Column Stimulation)
Reissue Effective: 02/03/2016 | Reissue Posted: 02/03/2016

MA07.018a, Anorectal Manometry, Electromyography (EMG) of Anorectal or Urethral Sphincters; Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters 
Reissue Effective: 02/03/2016 | Reissue Posted: 02/03/2016

MA08.034a, Enzyme Replacement Therapy for Mucopolysaccharidosis (e.g. Aldurazyme®, Elaprase™, Vimizim™, Naglazyme®, etc.)
Reissue Effective: 02/03/2016 | Reissue Posted: 02/03/2016

MA08.001a, Vedolizumab (Entyvio®)
Reissue Effective: 02/03/2016 | Reissue Posted: 02/03/2016

MA11.101, Nucleoplasty
Reissue Effective: 02/17/2016 | Reissue Posted: 02/17/2016

MA11.019a, Vagus Nerve Stimulation (VNS)
Reissue Effective: 02/17/2016 | Reissue Posted: 02/17/2016

MA11.067a, Labiaplasty
Reissue Effective: 02/17/2016 | Reissue Posted: 02/19/2016

MA09.013a, Screening for Vertebral Fracture with Dual-Energy X-ray Absorptiometry (DEXA/DXA)
Reissue Effective: 02/18/2016 | Reissue Posted: 02/19/2016

MA05.033, External Breast Prosthesis
Reissue Effective: 02/03/2016 | Reissue Posted: 02/25/2016

MA05.039, Non-Implantable Pelvic Floor Electrical Stimulator
Reissue Effective: 02/03/2016 | Reissue Posted: 02/25/2016

MA05.052a, Canes and Crutches
Reissue Effective: 02/03/2016 | Reissue Posted: 02/25/2016

MA07.045a, Microvolt T-Wave Alternans (MTWA)
Reissue Effective: 02/03/2016 | Reissue Posted: 02/25/2016

MA11.034, Collagen Meniscus Implant
Reissue Effective: 02/03/2016 | Reissue Posted: 02/25/2016

MA05.001, High-Frequency Chest Wall Oscillation Devices
Reissue Effective: 02/16/2016 | Reissue Posted: 02/26/2016

MA05.029, Heating Pads and Heat Lamps
Reissue Effective: 02/03/2016 | Reissue Posted: 02/29/2016

MA05.048, Bladder Stimulators (Pacemakers)
Reissue Effective: 02/03/2016 | Reissue Posted: 02/29/2016


Coding Update
The following Medicare Advantage policies have been reviewed and updated to add new and revised medical codes (e.g., ICD-9 and ICD-10 diagnosis codes; CPT® and HCPCS codes; revenue codes) and/or remove terminated medical codes.
MA05.010a, Ankle-Foot/Knee-Ankle-Foot Orthoses
Effective: 01/01/2016 | Posted: 02/04/2016

MA00.019b, Radiologic Guidance of a Procedure
Effective: 01/01/2016 | Posted: 02/05/2016

MA00.018a, Prolonged Face-to-Face Physician Services
Effective: 01/01/2016 | Posted: 02/05/2016

MA00.031b, X-rays Associated with Fractures in the Office Setting
Effective: 01/01/2016 | Posted: 02/05/2016

MA09.009c, Diagnostic and Therapeutic Radiopharmaceutical Agents
Effective: 01/01/2016 | Posted: 02/05/2016

MA09.006a, Therapeutic Radiology Port Films
Effective: 01/01/2016 | Posted: 02/05/2016

MA06.022a, Biomarkers for Oncology
Effective: 01/01/2016 | Posted: 02/19/2016

MA06.017c, Molecular Diagnostics
Effective: 01/01/2016 | Posted: 02/19/2016

MA06.008a, Pharmacogenetic Testing to Determine Drug Sensitivity
Effective: 01/01/2016 | Posted: 02/19/2016










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