|
Policy Title- May 1, 2024
|
Policy#
|
Status
|
1
|
Cardiac Rehabilitation in the Outpatient Setting
|
8.03.08
|
Major Update
|
2
|
Myoelectric Prosthetic and Orthotic Components for the Upper Limb
|
1.04.04
|
Major Update
|
3
|
Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis
|
7.01.155
|
New
|
4
|
Genetic Testing: Gastroenterologic Disorders (Non-Cancerous)
|
BSC_CON_2.17
|
New
|
5
|
Genetic Testing: Hereditary Cancer Susceptibility
|
BSC_CON_2.01
|
New
|
6
|
Transmyocardial Revascularization
|
7.01.54
|
New
|
7
|
Vestibular Function Testing
|
2.01.104
|
New
|
8
|
Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses
|
1.01.11
|
Minor Update
|
9
|
Amniotic Membrane and Amniotic Fluid
|
7.01.149
|
Minor Update
|
10
|
Bioengineered Skin and Soft Tissue Substitutes
|
7.01.113
|
Minor Update
|
11
|
Cognitive Rehabilitation
|
8.03.10
|
Minor Update
|
12
|
Continuous Passive Motion in the Home Setting
|
1.01.10
|
Minor Update
|
13
|
Cooling Devices Used in the Outpatient Setting
|
1.01.26
|
Minor Update
|
14
|
Corneal Collagen Cross-Linking
|
9.03.28
|
Minor Update
|
15
|
Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy
|
9.03.05
|
Minor Update
|
16
|
Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic Rhinitis
|
7.01.168
|
Minor Update
|
17
|
Electrical and Electromagnetic Stimulation for the Treatment of Arthritis
|
1.01.27
|
Minor Update
|
18
|
Endothelial Keratoplasty
|
9.03.22
|
Minor Update
|
19
|
Evaluation of Biomarkers for Alzheimer Disease
|
2.04.14
|
Admin Coding Update
|
20
|
Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome
|
9.03.29
|
Minor Update
|
21
|
Functional Neuromuscular Electrical Stimulation
|
8.03.01
|
Minor Update
|
22
|
Genetic Cancer Susceptibility Panels Using Next-Generation Sequencing
|
2.04.93
|
Archived
|
23
|
Genetic Testing for Duchenne and Becker Muscular Dystrophy
|
2.04.86
|
Minor Update
|
24
|
Genetic Testing for Hereditary Hemochromatosis
|
2.04.80
|
Archived
|
25
|
Genetic Testing for Lactase Insufficiency
|
2.04.94
|
Archived
|
26
|
Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndromes
|
2.04.08
|
Archived
|
27
|
Genetic Testing: Prenatal and Preconception Carrier Screening
|
BSC_CON_2.07
|
Admin Coding Update
|
28
|
Germline Genetic Testing for Familial Cutaneous Malignant Melanoma (CDKN2A, CDK4)
|
2.04.44
|
Archived
|
29
|
Germline Genetic Testing for Gene Variants Associated With Breast Cancer
in Individuals at High Breast Cancer Risk (CHEK2, ATM, and BARD1)
|
2.04.126
|
Archived
|
30
|
Germline Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome
and Other High-Risk Cancers (BRCA1, BRCA2, PALB2)
|
2.04.02
|
Archived
|
31
|
Germline Genetic Testing for Ovarian Cancer Risk (BRIP1, RAD51C, RAD51D, NBN)
|
2.04.149
|
Archived
|
32
|
Germline Genetic Testing for Pancreatic Cancer Susceptibility Genes
(ATM, BRCA1, BRCA2, CDKN2A, EPCAM, MLH1, MSH2, MSH6, PALB2, PMS2, STK11, and TP53)
|
2.04.148
|
Archived
|
33
|
Hippotherapy
|
8.03.12
|
Minor Update
|
34
|
Home Non-Invasive Positive Airway Pressure Devices for the Treatment of Respiratory Insufficiency and Failure
|
8.01.64
|
Minor Update
|
35
|
Human Leukocyte Antigen Testing for Celiac Disease
|
2.04.95
|
Archived
|
36
|
Identification of Microorganisms Using Nucleic Acid Probes
|
2.04.10
|
Admin Coding Update
|
37
|
Intraocular Radiotherapy for Age-Related Macular Degeneration
|
9.03.20
|
Minor Update
|
38
|
Keratoprosthesis
|
9.03.01
|
Minor Update
|
39
|
Knee Braces (Custom)
|
BSC1.05
|
Minor Update
|
40
|
Lifestyle Modification Program for Reversing Heart Disease
|
BSC8.01
|
Minor Update
|
41
|
Low Intensity Pulsed Ultrasound Fracture Healing Device
|
1.01.05
|
Minor Update
|
42
|
Microprocessor-Controlled Prostheses for the Lower Limb
|
1.04.05
|
Minor Update
|
43
|
Noninvasive Techniques for the Evaluation and Monitoring of Patients With Chronic Liver Disease
|
2.04.41
|
Archived
|
44
|
Oncology: Molecular Analysis Of Solid Tumors And Hematologic Malignancies
|
BSC_CON_2.04
|
Admin Coding Update
|
45
|
Ophthalmologic Techniques That Evaluate the Posterior Segment for Glaucoma
|
9.03.06
|
Minor Update
|
46
|
Optical Coherence Tomography of the Anterior Eye Segment
|
9.03.18
|
Minor Update
|
47
|
Orthognathic Surgery
|
BSC7.03
|
Minor Update
|
48
|
Orthoptic Training for the Treatment of Vision or Learning Disabilities
|
9.03.03
|
Minor Update
|
49
|
Outpatient Pulmonary Rehabilitation
|
8.03.05
|
Minor Update
|
50
|
Panniculectomy, Abdominoplasty, and Surgical Management of Diastasis Recti
|
BSC7.04
|
Minor Update
|
51
|
Partial Thickness Rotator Cuff Tears and Acromioplasty/ Subacromial Decompression
|
BSC7.14
|
Minor Update
|
52
|
Patient-Controlled End Range of Motion Stretching Devices
|
1.03.05
|
Minor Update
|
53
|
Personalized Breast Cancer Screening Clinical Trial
|
BSC2.08
|
Minor Update
|
54
|
Photodynamic Therapy for Choroidal Neovascularization
|
9.03.08
|
Minor Update
|
55
|
Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
|
1.01.18
|
Minor Update
|
56
|
Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis
|
1.01.28
|
Minor Update
|
57
|
Power Wheelchairs and Power Operated Vehicles for Permanent Use
|
BSC1.02
|
Admin Coding Update
|
58
|
Powered Exoskeleton for Ambulation in Patients With Lower-Limb Disabilities
|
1.03.04
|
Minor Update
|
59
|
Retinal Prosthesis
|
9.03.15
|
Minor Update
|
60
|
Retinal Telescreening for Diabetic Retinopathy
|
9.03.13
|
Minor Update
|
61
|
Sacral Nerve Neuromodulation/Stimulation
|
7.01.69
|
Admin Coding Update
|
62
|
Sensory Integration Therapy and Auditory Integration Therapy
|
8.03.13
|
Minor Update
|
63
|
Serum Biomarker Panel Testing for Systemic Lupus Erythematosus
and Other Connective Tissue Diseases
|
2.04.123
|
Admin Coding Update
|
64
|
Treatment of Varicose Veins/Venous Insufficiency
|
7.01.124
|
Admin Coding Update
|
65
|
Vagus Nerve Stimulation
|
7.01.20
|
Admin Coding Update
|
66
|
Viscocanalostomy and Canaloplasty
|
9.03.26
|
Minor Update
|