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 AmeriHealth commercial policies have been posted prior to their effective date.
11.14.21f, Microprocessor-Controlled Prostheses for Lower-Extremity Amputees
Notification: 11/04/2015 | Effective: 12/04/2015 | Posted: 11/04/2015
Type of policy change: General Description, Guidelines, or Informational Update

11.16.08, Implantable Steroid-Eluting Sinus Stents
Notification: 11/06/2015 (revised 12/04/2015) | Effective: 02/04/2016 | Posted: 11/06/2015
Type of policy change: This is a new policy.

12.01.01ae, Experimental/Investigational Services
Notification: 11/25/2015 | Effective: 01/01/2016 | Posted: 11/25/2015
Type of policy change: Coverage and/or Reimbursement Position


New Policies
The following commercial policies have been newly developed to communicate coverage and/or reimbursement positions, reporting requirements, and other processes and procedures for doing business with AmeriHealth.
11.02.26, Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation
Notification: 10/28/2015 | Effective: 11/27/2015 | Posted: 11/25/2015
Type of policy change: This is a new policy.


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 AmeriHealth.
03.00.20f, Modifiers 26 (Professional Component) and TC (Technical Component)
Effective: 11/01/2015 | Posted: 11/02/2015

00.01.14m, Reporting and Documentation Requirements for Anesthesia Services
Effective: 11/01/2015 | Posted: 11/02/2015

08.00.83e, Pralatrexate (Folotyn®) for Injection
Effective: 11/04/2015 | Posted: 11/04/2015

08.00.99b, Belimumab (Benlysta®)
Effective: 11/04/2015 | Posted: 11/04/2015
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

06.02.10n, Genetic Testing for Inherited Susceptibility to Colon Cancer and Microsatellite Instability Testing (Familial Adenomatous Polyposis and Lynch Syndrome)
Effective: | Posted: 11/06/2015
Type of policy change: General Description, Guidelines, or Informational Update

06.02.10n, Genetic Testing for Inherited Susceptibility to Colon Cancer and Microsatellite Instability Testing (Familial Adenomatous Polyposis and Lynch Syndrome)
Effective: 11/06/2015 | Posted: 11/06/2015
Type of policy change: General Description, Guidelines, or Informational Update

06.02.37a, Immune Cell Function Assay
Effective: 11/06/2015 | Posted: 11/06/2015
Type of policy change: General Description, Guidelines, or Informational Update

11.06.06b, Magnetic Resonance Imaging (MRI)--Guided Focused Ultrasound Ablation
Notification: 10/07/2015 | Effective: 11/06/2015 | Posted: 11/06/2015
Type of policy change: Coverage and/or Reimbursement Position; Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

06.02.14f, In Vitro Chemosensitivity and Chemoresistance Assays
Effective: 11/06/2015 | Posted: 11/06/2015
Type of policy change: General Description, Guidelines, or Informational Update

08.01.04l, Immunizations
Notification: 10/16/2015 | Effective: 11/16/2015 | Posted: 11/16/2015
Type of policy change: Coverage and/or Reimbursement Position; Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

11.08.14g, Removal of Breast Implants
Effective: 11/18/2015 | Posted: 11/18/2015
Type of policy change: General Description, Guidelines, or Informational Update

08.00.88c, Ofatumumab (Arzerra™)
Notification: 10/30/2015 | Effective: 11/30/2015 | Posted: 11/30/2015
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update


Reissue Policies
The following commercial policies have been reviewed, and no substantive changes were made.
11.15.23c, Epidural, Paravertebral Facet, and Sacroiliac Joint Injections for Spinal Pain Management
Reissue Effective: 11/25/2015 | Reissue Posted: 11/30/2015


Archived Policies
AmeriHealth has determined that it is no longer necessary for the following commercial policy to remain active.
03.00.29i, Modifier 51 Exempt
Notification: 11/30/2015 | Archive Effective: 01/01/2016 | Posted: 11/30/2015

00.10.20l, Add-on Codes
Notification: 11/30/2015 | Archive Effective: 01/01/2016 | Posted: 11/30/2015