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.
MA06.031, Vitamin D Assay Testing
Notification: 05/03/2016 | Effective: 08/01/2016 | Posted: 05/03/2016
Type of policy change: This is a new policy.

MA05.031a, Patient Lifts
Notification: 05/04/2016 | Effective: 06/03/2016 | Posted: 05/04/2016

MA11.005b, Deep Brain Stimulation (DBS)
Notification: 05/25/2016 | Effective: 06/24/2016 | Posted: 05/25/2016
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

MA11.111, Circumcision
Notification: 05/31/2016 | Effective: 06/29/2016 | Posted: 05/31/2016
Type of policy change: This is a new policy.

MA05.028c, Durable Medical Equipment (DME) Not Subject to a Rental to Purchase Maximum
Notification: 05/31/2016 | Effective: 07/01/2016 | Posted: 05/31/2016


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.
MA08.079, daratumumab (Darzalex)
Notification: 04/06/2016 | Effective: 05/06/2016 | Posted: 05/06/2016
Type of policy change: This is a new policy.

MA11.110, Surgery for Gynecomastia
Notification: 04/18/2016 | Effective: 05/18/2016 | Posted: 05/18/2016
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.
MA00.036a, Remote Patient Management: Telemedicine Services
Effective: 05/04/2016 | Posted: 05/04/2016
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update

MA08.065b, Octreotide Acetate (Sandostatin® LAR Depot)
Effective: 05/04/2016 | Posted: 05/04/2016
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

MA08.029a, Natalizumab (Tysabri®)
Effective: 05/04/2016 | Posted: 05/04/2016
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

MA05.045a, Compression Garments
Notification: 04/06/2016 | Effective: 05/06/2016 | Posted: 05/06/2016

MA05.004a, Pneumatic Compression Therapy Devices
Notification: 04/06/2016 | Effective: 05/06/2016 | Posted: 05/06/2016

MA08.006c, Siltuximab (Sylvant®)
Effective: 05/18/2016 | Posted: 05/18/2016
Type of policy change: Coverage and/or Reimbursement Position; Medical Necessity Criteria; General Description, Guidelines, or Informational Update

MA08.055c, Histone Deacetylase Inhibitors for Peripheral T-cell Lymphoma (e.g., Istodax®, Beleodaq®)
Effective: 05/18/2016 | Posted: 05/18/2016
Type of policy change: Medical Necessity Criteria; Medical Coding

MA11.060a, Catheter Ablation of Cardiac Arrhythmias
Effective: 05/18/2016 | Posted: 05/18/2016
Type of policy change: Medical Necessity Criteria; Medical Coding

MA11.107a, Implantable Steroid-Eluting Sinus Stents
Effective: 05/20/2016 | Posted: 05/20/2016
Type of policy change: Medical Coding; General Description, Guidelines, or Informational Update


Reissue Policies
The following Medicare Advantage policies have been reviewed, and no substantive changes were made.
MA11.063, Photocoagulation of Macular Drusen
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA07.004, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA00.002a, Continuous Glucose Monitors and Artificial Pancreas Device Systems (APDS)
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA11.062, Endovascular Stent-Graft Repair of Thoracic Aortic Aneurysms and Nonaneurysmal Lesions
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA11.098, Migraine Deactivation Surgery
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA07.043, Smell and Taste Dysfunction Testing
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA08.054a, Cabazitaxel (Jevtana®)
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA11.052, Radiofrequency Ablation and Cryosurgical Ablation of Lung Tumors
Reissue Effective: 05/11/2016 | Reissue Posted: 05/11/2016

MA05.034, Tracheostomy Care Supplies
Reissue Effective: 05/25/2016 | Reissue Posted: 05/25/2016

MA07.010, Biofeedback Therapy
Reissue Effective: 05/25/2016 | Reissue Posted: 05/25/2016


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.
MA06.021c, In Vitro Chemosensitivity and Chemoresistance Assays
Effective: 05/06/2016 | Posted: 05/06/2016

MA06.015c, AlloMap™ Molecular Expression Testing for Heart Transplant Rejection
Effective: 05/06/2016 | Posted: 05/06/2016

MA00.009c, Reporting and Documentation Requirements for Anesthesia Services
Effective: 01/01/2016 | Posted: 05/20/2016

MA11.032c, Multiple Surgical Reduction Guidelines
Effective: 01/01/2016 | Posted: 05/20/2016


Archived Policies
Independence Blue Cross has determined that it is no longer necessary for the following Medicare Advantage policy to remain active.
MA11.064b, Implantable Miniature Telescope™ (IMT) for the Treatment of End-Stage Age-Related Macular Degeneration (AMD)
Notification: 04/20/2016 | Archive Effective: 05/20/2016 | Posted: 05/20/2016










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