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NotificationsPreventive Care ServicesMA00.003z6/1/2024 10:00 AM7/1/20246/1/2024Medical Necessity Criteria;Medical Coding
NotificationsSurgical Procedures of the Eyelid and BrowMA11.047e6/18/2024 9:00 AM9/16/20246/18/2024Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesTafasitamab-cxix (Monjuvi®)MA08.138c6/3/20246/3/2024Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesOutpatient Physical Medicine and Rehabilitation Services- Physical Therapy (PT) and Occupational Therapy (OT)MA10.003j1/15/20246/3/2024General Description, Guidelines, or Informational Update
Updated PoliciesNot Medically Necessary Services and Obsolete or Unreliable Diagnostic TestsMA00.001d6/3/20246/3/2024Coverage and/or Reimbursement Position;Medical Necessity Criteria
Updated PoliciesRisankizumab-rzaa (Skyrizi®) for intravenous useMA08.153b6/3/20246/3/2024Medical Coding
Updated PoliciesReimbursement for the Administration of ImmunizationsMA07.019c6/3/20246/3/2024Medical Coding
Updated PoliciesCompression GarmentsMA05.045e6/3/20246/3/2024Coverage and/or Reimbursement Position
Updated PoliciesReduction MammoplastyMA11.069f6/3/20246/3/2024Medical Necessity Criteria;Medical Coding
Updated PoliciesBiofeedback TherapyMA07.010c4/1/20246/17/2024Medical Coding
Updated PoliciesPaclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-Bound)/(Abraxane® for Injectable Suspension)MA08.049m6/17/20246/17/2024Medical Necessity Criteria
Updated PoliciesSolid Organ Transplantation and Procurement Cost of Organs and TissuesMA11.033c6/17/20246/17/2024Coverage and/or Reimbursement Position
Updated PoliciesAnifrolumab-fnia (Saphnelo®)MA08.140c6/17/20246/17/2024Medical Necessity Criteria;General Description, Guidelines, or Informational Update
Updated PoliciesCataract SurgeryMA11.054e6/17/20246/17/2024Medical Coding
Updated PoliciesAmbulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) MonitoringMA07.026p3/22/2024 11:00 AM6/24/20246/24/2024Medical Coding
Reissue PoliciesAnesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint ManagementMA01.008b1/1/20246/12/20246/12/2024
Reissue PoliciesHome-Use Light Box for the Treatment of Seasonal Affective Disorder (SAD)MA05.022a1/1/20236/12/20246/12/2024
Reissue PoliciesSurgery for GynecomastiaMA11.110a12/19/20226/12/20246/12/2024
Reissue PoliciesWheelchair Options and AccessoriesMA05.046i4/1/20246/12/20246/12/2024
Reissue PoliciesPhotodynamic Therapy Using Verteporfin (Visudyne®)MA07.003d5/7/20186/12/20246/12/2024
Reissue PoliciesSmell and Taste Dysfunction TestingMA07.043a5/7/20186/12/20246/12/2024
Reissue PoliciesCranial Electrotherapy StimulationMA05.066d1/2/20246/12/20246/12/2024
Reissue PoliciesPhotodynamic Therapy (PDT) Using Levulan® Kerastick® or Ameluz® (Aminolevulinic Acid HCl [ALA])MA07.056d7/1/20196/12/20246/12/2024
Reissue PoliciesTherapeutic Drug Monitoring for Antidepressants, Antipsychotics, and AntiepilepticsMA06.029a1/1/20236/26/20246/26/2024
Reissue PoliciesAir Ambulance ServicesMA12.007b1/1/20246/26/20246/26/2024
Reissue PoliciesNever Events and Preventable Serious Adverse EventsMA00.039e1/1/20246/26/20246/26/2024
Reissue PoliciesPhotocoagulation of Macular DrusenMA11.063a6/14/20176/26/20246/26/2024
Reissue PoliciesInjectable Dermal Fillers for Cosmetic ProceduresMA05.021b7/1/20236/26/20246/26/2024
Reissue PoliciesX-rays Associated with Fractures in the Office SettingMA00.031f12/5/20226/26/20246/26/2024
Reissue PoliciesMagnetic Resonance Imaging (MRI)-Guided Focused Ultrasound AblationMA09.021e1/1/20246/26/20246/26/2024
Reissue PoliciesLaparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid MyolysisMA11.116a1/1/20246/26/20246/26/2024
Reissue PoliciesRadiologic Guidance and/or Supervision and Interpretation of a ProcedureMA00.019j8/1/20226/26/20246/26/2024
Reissue PoliciesHyperbaric Oxygen TherapyMA07.001b1/1/20246/26/20246/26/2024
Reissue PoliciesLaboratory-Based Vestibular Function TestingMA07.031b1/1/20216/26/20246/26/2024
Reissue PoliciesCorneal Pachymetry Using UltrasoundMA07.046g9/19/20226/26/20246/26/2024
Reissue PoliciesIntrauterine Systems (IUSs) (e.g., Mirena®, Skyla®, Liletta®, Kyleena®)MA07.025f1/2/20246/26/20246/26/2024
Reissue PoliciesReimbursement for an Intraocular LensMA11.043a1/18/20216/26/20246/26/2024
Reissue PoliciesRefractive KeratoplastyMA11.008e7/1/20226/26/20246/26/2024
Reissue PoliciesTopical OxygenationMA07.011a4/8/20156/26/20246/26/2024
Reissue PoliciesSentinel Lymph Node Biopsy and MappingMA11.068e1/1/20236/26/20246/26/2024
Reissue PoliciesPresumptive and Definitive Drug Testing in Substance Abuse and Pain Management TreatmentsMA06.025q7/1/20236/26/20246/26/2024