All policies are posted
prior to their effective date. Below is a listing of the policy notifications
that we have posted to our website as of September 21, 2012.
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September 28, 2012
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06.02.17c
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Serodiagnosis of Inflammatory Bowel
Disease (IBD) and the Prometheus® IBD sgi
DiagnosticTM Test
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August 29, 2012
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September 28, 2012
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11.01.07a
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Cataract Surgery
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August 29, 2012
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September 28, 2012
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08.01.04b
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Preventive Immunization
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August 29, 2012
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September 28, 2012
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08.00.08e
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Radioimmunotherapy with Ibritumomab
Tiuxetan (Zevalin®)
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August 29, 2012
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September 28, 2012
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08.00.44k
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Zoledronic Acid
(Zometa®, Reclast®)
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August 29, 2012
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October 1, 2012
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09.00.28b
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Magnetic Resonance Spectroscopy
(MRS)
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August 31, 2012
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October 1, 2012
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12.01.01o
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Experimental/Investigational
Services
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June 29, 2012
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October 3, 2012
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07.13.05f
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Photodynamic Therapy (PDT) Using
Verteporfin (Visudyne®)
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July 3, 2012
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October 10, 2012
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05.00.24i
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Interstitial Continuous Glucose
Monitoring Systems (CGMSs)
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September 10, 2012
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October 10, 2012
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06.02.32a
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Multigene Expression Assays for
Predicting Recurrence in Colon Cancer
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September 10, 2012
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October 10, 2012
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12.04.02c
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Nonemergency Ambulance Transport
Services
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September 12, 2012
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October 30, 2012
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11.14.07i
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Intra-articular Injection of
Hyaluronan for the Treatment of Osteoarthritis
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August 1, 2012
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December 12, 2012
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11.00.06d
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Treatment of Obstructive Sleep Apnea
(OSA) and Primary Snoring for Adults
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September 13, 2012
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To view the policy notifications, visit
our Medical Policy website,
select Accept and Go to Medical Policy Online, and click on the Policy
Notifications box. You can also view policy notifications using the
NaviNet® web portal by selecting Reference Tools from
the Plan Transactions menu, then Medical Policy. Once these policies
are in effect, they will be available by using the Search box on the Medical
Policy homepage. Be sure to check back often, as the site is updated
frequently.
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