New and Amended Medical Policies
Medical Policy Number
|
Medical Policy Name |
Effective Date of Change |
Description of Changes |
|
Flu Immunizations
|
09/01/18 |
Added codes to allow for types of administration (intranasal and physician).
|
BI047 |
Counseling and Risk Factor Reduction |
10/01/18 |
Retired policy.
|
|
Preventive Health Benefit |
10/01/18
|
Clarified diagnosis/modifier requirements with screening sigmoidoscopy and colonoscopy.
|
BI245
|
Low Density Lipoprotein (LDL) Measurement |
10/01/18 |
Retired policy.
|
BI417
|
Retrospective Episodic Payment |
10/01/18 |
Retired policy. |
|
Outpatient Therapy for Mental Health and Substance Disorders |
10/01/18 |
Background information added to support oversight role of psychiatrists, psychiatric APRNs or (if needed) primary care physicians. Restriction for evaluation per year per provider within 12 months does not apply for POS 21, 31 and 51. |
|
Obstetrical Ultrasound |
11/01/18 |
Clarified language for consistency in Public and Medical statements.
|
|
Obstructive Sleep Apnea |
11/01/18 |
OSA criteria described in greater detail. When criteria for sleep lab testing is met, approval will be for polysomnography OR split night polysomnography with CPAP titration. If polysomnography is positive but CPAP titration cannot be performed in a single night, a subsequent request must be submited. |
|
Cognitive Rehabilitation |
11/01/18 |
Added indications and limitations for cognitive rehab therapy.
|
|
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