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

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Notifications
The following Independence Blue Cross commercial policies have been posted prior to their effective date.
05.00.77, Subcutaneous Implantable Cardioverter Defibrillator (S-ICD) for Treating Life-threatening Ventricular Tachyarrhythmia
Notification: 09/02/2015 | Effective: 10/01/2015 | Posted: 09/02/2015
Type of policy change: This is a new policy.

07.02.21, Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring
Notification: 09/09/2015 | Effective: 12/08/2015 | Posted: 09/09/2015
Type of policy change: This is a new policy.

06.02.47, Noninvasive Prenatal Screening for Fetal Aneuploidies Using Cell-Free Fetal DNA
Notification: 09/22/2015 | Effective: 10/21/2015 | Posted: 09/22/2015
Type of policy change: This is a new policy.

11.14.19i, Artificial Intervertebral Disc Insertion
Notification: 09/23/2015 | Effective: 10/23/2015 | Posted: 09/23/2015
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update


Updated Policies
The following commercial 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.
11.14.07m, Intra-Articular Injection of Hyaluronan for the Treatment of Osteoarthritis
Notification: 06/03/2015 | Effective: 09/01/2015 | Posted: 09/01/2015

02.01.01d, Home Health Care Services
Effective: 09/09/2015 (revised 09/25/2015) | Posted: 09/09/2015
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update

00.09.01e, Direct Access Obstetrics/Gynecology (OB/GYN)
Effective: 09/09/2015 | Posted: 09/09/2015
Type of policy change: Medical Necessity Criteria

11.00.01e, Revision of a Previous Cosmetic Procedure
Effective: 09/09/2015 | Posted: 09/09/2015
Type of policy change: General Description, Guidelines, or Informational Update

09.00.52c, Digital Breast Tomosynthesis
Effective: 09/09/2015 | Posted: 09/09/2015
Type of policy change: General Description, Guidelines, or Informational Update

05.00.69a, Home-Use Light Box for the Treatment of Seasonal Affective Disorder (SAD)
Effective: 09/09/2015 | Posted: 09/09/2015
Type of policy change: General Description, Guidelines, or Informational Update

08.00.62f, Abatacept (Orencia®) for Injection for Intravenous Use
Notification: 06/17/2015 | Effective: 09/15/2015 | Posted: 09/15/2015

11.14.17c, Computer-Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure
Effective: 09/23/2015 | Posted: 09/23/2015
Type of policy change: General Description, Guidelines, or Informational Update

11.14.22c, Spinal Decompression with Interspinous and Interlaminar Devices (formerly Lumbar Interspinous Process Decompression)
Effective: 09/23/2015 | Posted: 09/23/2015
Type of policy change: Medical Coding; General Description, Guidelines, or Informational Update


Reissue Policies
The following commercial policies have been reviewed, and no substantive changes were made.
11.08.10f, Excision of Redundant Skin
Reissue Effective: 09/02/2015 | Reissue Posted: 09/03/2015

05.00.60e, Pressure-Reducing Support Surfaces
Reissue Effective: 09/16/2015 | Reissue Posted: 09/17/2015

11.08.13f, Rhytidectomy and/or Cervicoplasty With or Without Liposuction and/or Platysmaplasty
Notification: 08/01/2011 | Reissue Effective: 09/17/2015 | Reissue Posted: 09/17/2015

11.14.01f, Mentoplasty or Genioplasty
Reissue Effective: 09/16/2015 | Reissue Posted: 09/17/2015


Archived Policies
Independence Blue Cross has determined that it is no longer necessary for the following commercial policy to remain active.
08.00.47f, Nesiritide (Natrecor®)
Notification: 09/09/2015 | Archive Effective: 10/09/2015 | Posted: 09/09/2015


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