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

 
Jul 2020  Jun 2020  May 2020  Apr 2020  Mar 2020  Feb 2020  Jan 2020  Dec 2019  Nov 2019  Oct 2019  Sep 2019  Aug 2019  Jul 2019  Jun 2019  May 2019  Apr 2019  Mar 2019  Feb 2019  Jan 2019  Dec 2018  Nov 2018  Oct 2018  Sep 2018  Aug 2018  Jul 2018  Jun 2018  May 2018  Apr 2018  Mar 2018  Feb 2018  Jan 2018  Dec 2017  Nov 2017  Oct 2017  Sep 2017  Aug 2017  Jul 2017  Jun 2017  May 2017  Apr 2017  Mar 2017  Feb 2017  Jan 2017  Dec 2016  Nov 2016  Oct 2016  Sep 2016  Aug 2016  Jul 2016  Jun 2016  May 2016  Apr 2016  Mar 2016  Feb 2016  Jan 2016  Dec 2015  Nov 2015  Oct 2015  Sep 2015  Aug 2015  Jul 2015  Jun 2015  

Notifications
The following AmeriHealth commercial policies have been posted prior to their effective date.
05.00.21s, Durable Medical Equipment (DME) and Consumable Medical Supplies
Notification: 02/21/2018 | Effective: 05/22/2018 | Posted: 02/21/2018
Type of policy change: Medical Coding


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.
08.01.44, Voretigene Neparvovec-rzyl (Luxturna)
Effective: 02/07/2018 | Posted: 02/07/2018
Type of policy change: This is a new policy.

07.03.24, Laboratory-Based Vestibular Function Testing
Notification: 11/15/2017 | Effective: 02/13/2018 | Posted: 02/13/2018
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.
08.00.08i, Radioimmunotherapy with Ibritumomab Tiuxetan (Zevalin®) (AmeriHealth Administrators)
Notification: 11/16/2017 | Effective: 02/14/2018 | Posted: 02/14/2018
Type of policy change: Coverage and/or Reimbursement Position; Medical Coding; General Description, Guidelines, or Informational Update

07.07.01m, Routine Foot Care for Certain Medical Conditions
Notification: 11/17/2017 | Effective: 02/15/2018 | Posted: 02/15/2018
Type of policy change: Medical Necessity Criteria; Medical Coding; General Description, Guidelines, or Informational Update

08.01.33a, Gonadotropin-Releasing Hormone Agonist (Eligard®, Lupron Depot®)
Notification: 01/19/2018 | Effective: 02/19/2018 | Posted: 02/19/2018
Type of policy change: Medical Necessity Criteria; Medical Coding

08.00.83g, Pralatrexate (Folotyn®) for Injection
Effective: 02/21/2018 | Posted: 02/21/2018
Type of policy change: Medical Necessity Criteria

11.02.06l, Catheter Ablation of Cardiac Arrhythmias
Effective: 02/23/2018 | Posted: 02/23/2018
Type of policy change: Medical Necessity Criteria; General Description, Guidelines, or Informational Update


Reissue Policies
The following commercial policies have been reviewed, and no substantive changes were made.
11.02.12h, Percutaneous Transluminal Angioplasty (PTA) Concurrent with or without Stenting of the Extracranial Carotid Artery or Intracranial Artery
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

09.00.40d, Screening for Vertebral Fracture with Dual-Energy X-ray Absorptiometry (DEXA/DXA)
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

07.05.02n, Wireless Capsule Endoscopy (WCE) as a Diagnostic Technique in Disorders of the Small Bowel, Esophagus, and Colon
Reissue Effective: 01/31/2018 | Reissue Posted: 02/01/2018

05.00.65e, Home Uterine Activity Monitoring (HUAM) Devices
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

11.00.14e, Treatment of Twin-Twin Transfusion Syndrome (TTTS)
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

07.10.04c, Parenterally Administered Terbutaline Sulfate for the Prevention or Treatment of Pre-Term Labor
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

10.01.01n, Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Programs
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

07.10.05k, Noncontraceptive Use of the Levonorgestrel-Releasing Intrauterine System
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

05.00.71c, Standing Frames
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

07.02.05j, External Counterpulsation (ECP)
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

11.16.08a, Implantable Steroid-Eluting Sinus Stents
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

11.06.05e, Endometrial Ablation
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018

05.00.76a, Breast Pumps
Reissue Effective: 02/15/2018 | Reissue Posted: 02/15/2018