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NotificationsPreventive Care Services00.06.02ar6/1/2024 10:00 AM7/1/20246/1/2024Medical Necessity Criteria;Medical Coding
NotificationsSurgical Procedures of the Eyelid and Brow11.05.02k6/18/2024 11:00 AM9/16/20246/18/2024Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesRisankizumab-rzaa (Skyrizi®) for Intravenous Use 08.01.95b6/3/20246/3/2024Medical Coding
Updated PoliciesReimbursement for the Administration of Immunizations07.00.15n6/3/20246/3/2024Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesNot Medically Necessary Services and Obsolete or Unreliable Diagnostic Tests00.01.24k6/3/20246/3/2024Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesReduction Mammoplasty11.08.02l6/3/20246/3/2024Medical Necessity Criteria;Medical Coding
Updated PoliciesTafasitamab-cxix (Monjuvi®)08.01.81c6/3/20246/3/2024Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesBiofeedback Therapy07.00.01m4/1/20246/17/2024Medical Coding
Updated PoliciesPaclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-Bound)/(Abraxane® for Injectable Suspension)08.00.90q6/17/20246/17/2024Medical Necessity Criteria;Medical Coding
Updated PoliciesSolid Organ Transplantation and Procurement Cost of Organs and Tissues11.00.09g6/17/20246/17/2024Coverage and/or Reimbursement Position
Updated PoliciesAnifrolumab-fnia (Saphnelo®)08.01.82c6/17/20246/17/2024Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesCataract Surgery11.01.07g6/17/20246/17/2024Medical Coding
Updated PoliciesAmbulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring07.02.21p3/22/2024 11:00 AM6/24/20246/24/2024Medical Coding
Reissue PoliciesAnesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management01.00.12b10/1/20236/12/20246/12/2024
Reissue PoliciesSurgery for Gynecomastia11.08.12i1/1/20246/12/20246/12/2024
Reissue PoliciesHome-Use Light Box for the Treatment of Seasonal Affective Disorder (SAD)05.00.69c1/1/20236/12/20246/12/2024
Reissue PoliciesPhotodynamic Therapy (PDT) Using Verteporfin (Visudyne®)07.13.05k5/7/20186/12/20246/12/2024
Reissue PoliciesSmell and Taste Dysfunction Testing07.11.01c5/7/20186/12/20246/12/2024
Reissue PoliciesCranial Electrotherapy Stimulation05.00.80d1/1/20246/12/20246/12/2024
Reissue PoliciesPhotodynamic Therapy (PDT) Using Levulan® Kerastick® or Ameluz® (Aminolevulinic Acid HCl [ALA])07.07.03m7/1/20196/12/20246/13/20246/13/2024
Reissue PoliciesPhotodynamic Therapy (PDT) Using Levulan® Kerastick® or Ameluz® (Aminolevulinic Acid HCl [ALA])07.07.03m7/1/20196/12/20246/13/2024
Reissue PoliciesTherapeutic Drug Monitoring for Antidepressants, Antipsychotics, or Antiepileptics06.02.55a1/1/20236/26/20246/26/2024
Reissue PoliciesNever Events and Preventable Serious Adverse Events00.01.44j12/5/20226/26/20246/26/2024
Reissue PoliciesPhotocoagulation of Macular Drusen11.05.08d6/14/20176/26/20246/26/2024
Reissue PoliciesInjectable Dermal Fillers for Cosmetic Procedures05.00.62i7/1/20236/26/20246/26/2024
Reissue PoliciesSurgical Correction of Strabismus11.05.07d9/7/20166/26/20246/26/2024
Reissue PoliciesX-rays Associated with Fractures in the Office Setting00.03.09f12/5/20226/26/20246/26/2024
Reissue PoliciesMagnetic Resonance Imaging (MRI)-Guided Focused Ultrasound Ablation11.06.06g8/29/20226/26/20246/26/2024
Reissue PoliciesLaparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid Myolysis11.06.10a1/1/20246/26/20246/26/2024
Reissue PoliciesGuidelines for Home Care Visits Following Inpatient Maternity Stay00.05.01g10/25/20216/26/20246/26/2024
Reissue PoliciesRadiologic Guidance and/or Supervision and Interpretation of a Procedure00.10.36u8/1/20226/26/20246/26/2024
Reissue PoliciesFull-Body Monoplace or Multiplace Chamber Hyperbaric Oxygen Therapy07.00.03p11/15/20236/26/20246/26/2024
Reissue PoliciesAir Ambulance Services12.04.03c1/1/20196/26/20246/26/2024
Reissue PoliciesLaboratory-Based Vestibular Function Testing07.03.24b1/1/20216/26/20246/26/2024
Reissue PoliciesHospice Care02.02.01h12/6/20216/26/20246/26/2024
Reissue PoliciesCorneal Pachymetry Using Ultrasound07.13.07l9/19/20226/26/20246/26/2024
Reissue PoliciesNoncontraceptive Use of the Levonorgestrel-Releasing Intrauterine System07.10.05n1/2/20246/26/20246/26/2024
Reissue PoliciesFirst-Trimester Prenatal Screening for Fetal Aneuploidy Using Fetal Ultrasound Markers09.00.36m11/21/20226/26/20246/26/2024
Reissue PoliciesReimbursement for an Intraocular Lens11.05.10c1/18/20216/26/20246/26/2024
Reissue PoliciesRefractive Keratoplasty11.05.01g7/1/20226/26/20246/26/2024
Reissue PoliciesTopical Oxygenation07.00.09d4/8/20156/26/20246/26/2024
Reissue PoliciesSentinel Lymph Node Biopsy and Mapping11.07.02k1/1/20236/26/20246/26/2024
Reissue PoliciesPresumptive and Definitive Drug Testing in Substance Abuse and Pain Management Treatments06.02.44q7/1/20236/26/20246/26/2024
Reissue PoliciesDelandistrogene moxeparvovec (delandistrogene moxeparvovec-rokl; Elevidys®) 08.02.131/10/20246/26/20246/26/2024
Reissue PoliciesElivaldogene Autotemcel [eli-cel (Skysona®)]08.01.925/22/20236/26/20246/26/2024
Coding UpdateBeremagene Geperpavec (Vyjuvek™)08.02.10a1/1/20246/3/2024
Coding UpdateValoctocogene roxaparvovec-rvox (ROCTAVIAN™)08.02.09a1/1/20246/3/2024
Coding UpdateMicroprocessor-Controlled Prostheses for Lower-Extremity Amputees11.14.21j1/1/20246/25/2024
Archived PoliciesMedical Evaluation and Management for Attention-Deficit Hyperactivity Disorder (ADHD)07.03.03h6/14/2024 8:00 AM7/15/20246/14/2024
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Independence Blue Cross is a subsidiary of Independence Health Group, Inc. — independent licensees of the Blue Cross and Blue Shield Association, serving the health insurance needs of Philadelphia and southeastern Pennsylvania.