New and Amended Medical Policies
Medical Policy Number
|
Medical Policy Name |
Effective Date of Change |
Description of Changes |
BI041 |
Insulin Pumps |
01/01/18 |
Clarified verbiage to state pre-authorization is not required for supplies for an insulin pump.
|
BI189 |
Gastric Pacemaker |
02/01/18
|
Updated to add pre-authorization requirement for use in sacral nerve stimulation for fecal incontinence.
|
BI198 |
Diabetic Shoes and Shoe Inserts |
01/01/18 |
Clarified verbiage in public statement.
|
|
Women's Preventive Health Benefit - Contraception |
01/01/18 |
Updated to state hysterosalpingography (58340 and 74740) is covered once when performed 90 to 120 days after hysteroscopic tubal obliteration procedure (58565). |
BI429 |
Dexamethasone Intravitreal Implant |
01/01/18 |
Updated background. |
|
|