January 2011





This page gives you a listing of everything that has happened on the site this month. There are no active links.


    00.06.02a, Preventive Care Services
    Notification
    Posted: 1/31/2011


    09.00.49a, Proton Beam Radiation Therapy
    Policy UpdatePosted: 1/28/2011
    07.03.07f, Evaluation and Management of Autism Spectrum Disorders (ASD)
    Policy Update
    Posted: 1/26/2011


    11.02.06f, Catheter Ablation of Cardiac Arrhythmias
    Policy Update
    Posted: 1/25/2011


    03.00.17b, Modifier GC: This Service has been Performed in Part by a Resident Under the Direction of a Teaching Physician
    Policy Archived
    Posted: 01/21/2011


    05.00.01f, Pneumatic Compression Therapy Devices
    Policy Update
    Posted: 1/21/2011


    11.17.04h, Sacral Nerve Stimulation (SNS) for the Control of Urinary and Fecal Incontinence
    Policy Update
    Posted: 1/21/2011


    08.00.54c, Radioimmunotherapy with Tositumomab and Iodine I-131 Tositumomab (the Bexxar® Therapeutic Regimen)
    Policy Update
    Posted: 1/21/2011


    07.07.09a, Stem-Cell Therapy for Orthopedic Applications and Autologous Platelet-Derived Growth Factors (PDGFs)/Platelet-Rich Plasmas (PRPs) for Acute or Chronic Wound Healing and Other Miscellaneous Conditions
    Policy Update
    Posted: 1/21/2011


    06.02.04c, Fetal Fibronectin Enzyme (fFN) Immunoassay
    Policy Update
    Posted: 1/21/2011


    11.07.01g, Hematopoietic Stem Cell Transplantation (Bone Marrow Transplant)
    Notification
    Posted: 1/19/2011


    11.02.16i, Ventricular Assist Devices (VADs)
    Notification
    Posted: 1/19/2011


    07.10.02c, Speculoscopy
    Notification of Archive
    Posted: 1/19/2011


    05.00.47f, Knee Braces
    Notification
    Posted: 1/19/2011


    09.00.28b, Magnetic Resonance Spectroscopy (MRS)
    Policy Update
    Posted: 1/19/2011


    06.02.27e, Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis
    Notification
    Posted: 1/18/2011


    07.05.02h, Wireless Capsule Endoscopy (WCE) using the Given® Diagnostic Imaging and PillCam™ Capsule Systems
    Notification
    Posted: 1/14/2011


    08.00.26m, Botulinum Toxin Agents
    Policy Update
    Posted: 1/14/2011


    07.02.07e, Ambulatory, Real-Time Cardiac Surveillance System
    Policy Update
    Posted: 1/14/2011


    00.01.25j, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
    Policy Update
    Posted: 1/12/2011


    11.14.12b, Osteochondral Allograft Transplantation
    Policy Update
    Posted: 1/11/2011


    11.14.09d, Osteochondral Autograft Transplantation (OAT) Procedure
    Policy Update
    Posted: 1/11/2011


    11.14.06e, Autologous Chondrocyte Implantation (ACI)/Carticel® and Other Cell-based Treatments of Focal Articular Cartilage Lesions
    Policy Update
    Posted: 1/11/2011


    08.00.97, Romidepsin (Istodax®)
    New Policy
    Posted: 1/11/2011


    08.00.68c, Ibandronate Sodium (Boniva®) for Intravenous Injection
    Policy Update
    Posted: 1/11/2011


    11.03.11g, Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD)
    Policy Update
    Posted: 1/10/2011


    11.03.11g, Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD)
    Policy Update
    Posted: 1/10/2011


    07.02.12d, Cardiac Event Detection Monitoring (External Loop Monitoring)
    Policy Update
    Posted: 1/7/2011


    05.00.24h, Interstitial Continuous Glucose Monitoring Systems (CGMSs)
    Policy Update
    Posted: 1/7/2011


    11.15.17c, Paravertebral Facet Joint Nerve Block
    Policy Update
    Posted: 1/6/2011


    11.03.11g, Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD)
    Policy Update
    Posted: 1/6/2011


    07.00.15g, Reimbursement for the Administration of Immunizations
    Policy Update
    Posted: 1/6/2011


    05.00.50e, Ostomy Supplies
    Policy Update
    Posted: 1/6/2011


    05.00.21g, Durable Medical Equipment (DME)
    Policy Update
    Posted: 1/6/2011


    08.00.78d, Self-Injectable Drugs
    Policy Update
    Posted: 1/6/2011


    11.14.10h, Vertebroplasty and Kyphoplasty
    Notification
    Posted: 1/6/2011


    07.05.06c, Transcatheter Arterial Chemoembolization (TACE) of Hepatic Malignancies
    Notification
    Posted: 1/6/2011

    11.00.11e, Use of an Operating Microscope During a Surgical Procedure
    Policy Update
    Posted: 1/6/2011


    Coverage of Influenza Vaccine for 2010-2011
    News Article Archived
    Posted: 1/5/2011


    07.03.05k, Sleep Disorder Testing
    Policy Update
    Posted: 1/5/2011


    00.03.01i, Podiatry Services Included in Capitation for Pennsylvania Based Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products
    Notification
    Posted: 1/5/2011


    08.00.26l, Botulinum Toxin Agents
    Policy Update
    Posted: 1/5/2011


    Coverage of Influenza Vaccine for 2010-2011
    News Article
    Posted: 1/5/2011


    09.00.39, Scintimammography
    Notification of Archive
    Posted: 1/5/2011


    11.15.16g, Vagus Nerve Stimulation (VNS)
    Policy Update
    Posted: 1/5/2011


    11.14.23b, Surgical Treatment of Femoroacetabular Impingement
    Policy Update
    Posted: 1/5/2011


    11.14.02g, Trigger Point Injections
    Policy Update
    Posted: 1/5/2011


    05.00.64a, Transtympanic Micropressure Applications for the Treatment of Meniere's Disease
    Notification of Archive
    Posted: 1/5/2011


    11.17.07e, Radiofrequency Micro-remodeling (by transurethral, transvaginal, or paraurethral approach) for Urinary Stress Incontinence
    Policy Update
    Posted: 1/5/2011


    11.08.25e, Scar Revision
    Policy Update
    Posted: 1/5/2011


    11.08.20g, Wound Care: Bioengineered Skin Substitutes
    Policy Update
    Posted: 1/4/2011


    11.07.02d, Sentinel Lymph Node Biopsy
    Policy Update
    Posted: 1/4/2011


    07.00.09c, Topical Oxygenation
    Policy Update
    Posted: 1/4/2011


    08.00.82b, Ustekinumab (Stelara™) for Subcutaneous Injection
    Policy Update
    Posted: 1/4/2011


    05.00.55f, Wheelchair Cushions and Seating
    Policy Update
    Posted: 1/4/2011


    05.00.45e, Repair or Replacement of an External Prosthetic Device
    Policy Update
    Posted: 1/4/2011


    00.10.20f, Add-on Codes
    Policy Update
    Posted: 1/4/2011


    00.03.02i, Diagnostic Radiology Services Included in Capitation
    Policy Update
    Posted: 1/4/2011


    11.08.23e, Mohs' Micrographic Surgery
    Policy Update
    Posted: 1/4/2011


    11.08.15k, Reconstructive Breast Surgery
    Policy Update
    Posted: 1/4/2011


    11.05.08c, Photocoagulation of Macular Drusen
    Policy Update
    Posted: 1/4/2011


    08.09.11k, Medicare Part B vs. Part D Crossover Drugs
    Policy Update
    Posted: 1/4/2011


    00.10.36g, Radiologic Guidance of a Procedure
    Policy Update
    Posted: 1/4/2011


    00.03.01h, Podiatry Services Included in Capitation for Pennsylvania Based Health Maintenance Organization (HMO) or Health Maintenance Organization Point of Service (HMO POS) Products
    Policy Update
    Posted: 1/4/2011


    11.16.06b, Balloon Sinuplasty for the Treatment of Chronic Sinusitis
    Policy Update
    Posted: 1/4/2011


    11.00.13c, Hyperthermic Intraperitoneal Chemotherapy (HIPEC)
    Policy Update
    Posted: 1/4/2011


    09.00.46c, High-Technology Diagnostic Radiology Services
    Policy Update
    Posted: 1/4/2011


    09.00.10k, Brachytherapy
    Policy Update
    Posted: 1/4/2011


    08.00.96a, Cabazitaxel (Jevtana®)
    Policy Update
    Posted: 1/4/2011


    08.00.72d, Alglucosidase alfas, rhGAA (Myozyme®, Lumizyme®)
    Policy Update
    Posted: 1/4/2011


    08.00.83a, Pralatrexate (Folotyn™) for Injection
    Policy Update
    Posted: 1/4/2011


    07.13.06e, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
    Reissue
    Posted: 1/4/2011


    08.00.18g, Medical Foods, Low-Protein Modified Food Products, Nutritional Formulas, and Enteral Nutrition
    Policy Update
    Posted: 1/4/2011


    07.07.03g, Photodynamic Therapy (PDT) Using Levulan® Kerastick® (Aminolevulinic Acid HCl [ALA]) or Metvixia® (Methyl Aminolevulinate)
    Policy Update
    Posted: 1/4/2011


    07.06.03a, Bioimpedance for the Detection of Lymphedema
    Policy Update
    Posted: 1/4/2011


    07.02.12d, Cardiac Event Detection Monitoring (External Loop Monitoring)
    Policy Update
    Posted: 1/4/2011


    07.02.05g, External Counterpulsation (ECP)
    Policy Update
    Posted: 1/4/2011


    07.02.04g, Intracoronary Brachytherapy
    Policy Update
    Posted: 1/4/2011


    05.00.15j, Nebulizers
    Policy Update
    Posted: 1/4/2011


    06.02.09d, Human Immunodeficiency Virus (HIV) Genotyping and Phenotyping
    Policy Update
    Posted: 1/4/2011


    05.00.53e, Airway-Clearance Devices for Use in the Home Setting
    Policy Update
    Posted: 1/4/2011


    05.00.39g, Ankle-Foot/Knee-Ankle-Foot Orthoses
    Policy Update
    Posted: 1/4/2011


    03.12.04c, Insertion or Application of Urinary Catheters and the Associated Supplies Provided in the Office Setting
    Policy Update
    Posted: 1/4/2011


    00.01.24c, Obsolete or Unreliable Diagnostic Tests and Medical Services
    Policy Update
    Posted: 1/4/2011


    #00.10.39 Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
    News Article Archived
    Posted: 1/3/2011


    08.00.51c, Enzyme Replacement for the Treatment of Gaucher's Disease (eg, Alglucerase [Ceredase®], Imiglucerase [Cerezyme®], Velaglucerase Alpha [VPRIV™]).
    Policy Update
    Posted: 1/3/2011


    08.00.90, Paclitaxel Protein-bound Particles for Injectable Suspension (Albumin-bound)/(Abraxane® for Injectable Suspension)
    New Policy
    Posted: 1/3/2011


    08.00.13h, Immune Globulin: Intravenous (IVIG), Subcutaneous (SCIG)
    Policy Update
    Posted: 1/3/2011


    08.00.93, C1 Esterase Inhibitors (Human): Cinryze® and Berinert®
    New Policy
    Posted: 1/3/2011


    08.00.88, Ofatumumab (Arzerra™)
    New Policy
    Posted: 1/3/2011


    08.00.87, Pemetrexed (Alimta®)
    New Policy
    Posted: 1/3/2011


    08.00.25f, Epoprostenol (Flolan®) and Treprostinil (Remodulin®)
    Policy Update
    Posted: 1/3/2011


    11.14.13e, Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions
    Policy Update
    Posted: 1/3/2011


    #00.10.39 Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
    News Article
    Posted: 1/3/2011


    08.00.66f, Bevacizumab (Avastin®)
    Policy Update
    Posted: 1/3/2011


    08.00.34e, Infliximab (Remicade®)
    Policy Update
    Posted: 1/3/2011


    08.00.91, Alpha 1-Proteinase Inhibitor Therapy (eg, Prolastin, Aralast, Aralast NP, Glassia, Zemaira)
    New Policy
    Posted: 1/3/2011


    08.00.95, Sipuleucel-T (Provenge®)
    New Policy
    Posted: 1/3/2011


    08.00.92, Coagulation Factors for Hemophilia
    New Policy
    Posted: 1/3/2011


    08.00.85, Tocilizumab (Actemra®)
    New Policy
    Posted: 1/3/2011


    08.00.33h, Trastuzumab (Herceptin®)
    Policy Update
    Posted: 1/3/2011


    08.00.86, Ecallantide (Kalbitor®)
    New Policy
    Posted: 1/3/2011


    08.00.84, Eculizumab (Soliris®)
    New Policy
    Posted: 1/3/2011


    08.00.76b, Oxaliplatin (Eloxatin®)
    Policy Update
    Posted: 1/3/2011


    08.00.67e, Cetuximab (Erbitux®)
    Policy Update
    Posted: 1/3/2011


    08.00.50h, Rituximab (Rituxan®)
    Policy Update
    Posted: 1/3/2011

    Issued on - 2/03/2011