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.
MA07.007d, Pulmonary Function Tests
Notification: 02/21/2018 | Effective: 03/23/2018 | Posted: 02/21/2018
Type of policy change: Medical Coding


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.
MA08.094, Voretigene Neparvovec-rzyl (Luxturna)
Effective: 02/07/2018 | Posted: 02/07/2018
Type of policy change: This is a new policy.

MA07.031, Laboratory-Based Vestibular Function Testing
Notification: 11/15/2017 | Effective: 02/13/2018 | Posted: 02/13/2018
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.
MA05.033a, External Breast Prosthesis
Effective: 02/07/2018 | Posted: 02/07/2018
Type of policy change: General Description, Guidelines, or Informational Update

MA05.029a, Heating Pads and Heat Lamps
Effective: 02/07/2018 | Posted: 02/07/2018
Type of policy change: General Description, Guidelines, or Informational Update

MA07.009e, Routine Foot Care for Certain Medical Conditions
Notification: 11/17/2017 | Effective: 02/15/2018 | Posted: 02/15/2018
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

MA08.083a, Gonadotropin-Releasing Hormone Agonist (Eligard®, Lupron Depot®)
Notification: 01/19/2018 | Effective: 02/19/2018 | Posted: 02/19/2018
Type of policy change: Medical Necessity Criteria; Medical Coding

MA08.043c, Pralatrexate (Folotyn®) for Injection
Effective: 02/21/2018 | Posted: 02/21/2018
Type of policy change: Medical Necessity Criteria

MA11.060b, Catheter Ablation of Cardiac Arrhythmias
Effective: 02/23/2018 | Posted: 02/23/2018
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update


Reissue Policies
The following Medicare Advantage policies have been reviewed, and no substantive changes were made.
MA11.056d, Percutaneous Transluminal Angioplasty (PTA) Concurrent with or without Stenting and Extracranial- Intracranial (EC-IC) Arterial Bypass Surgery
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

MA07.023c, Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

MA07.022b, Wireless Capsule Endoscopy
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

MA09.013a, Screening for Vertebral Fracture with Dual-Energy X-ray Absorptiometry (DEXA/DXA)
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

MA05.055, Standing Frames
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

MA07.012a, External Counterpulsation (ECP)
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

MA07.025d, Intrauterine Systems (IUSs) (e.g., Mirena®, Skyla®, Liletta®, Kyleena®)
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

MA11.065c, Endometrial Ablation
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

MA11.107a, Implantable Steroid-Eluting Sinus Stents
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

MA10.002b, Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Programs
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018


Archived Policies
Independence Blue Cross has determined that it is no longer necessary for the following Medicare Advantage policy to remain active.
MA05.048a, Bladder Stimulators (Pacemakers)
Notification: 02/28/2018 | Archive Effective: 04/02/2018 | Posted: 02/28/2018

MA11.034, Collagen Meniscus Implant
Notification: 02/28/2018 | Archive Effective: 04/02/2018 | Posted: 02/28/2018










Connect with Us        


© 2017 Independence Blue Cross.
Independence Blue Cross is an independent licensee of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.