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 March 26, 2012.
Policy effective date
Policy no.
Notification title
Notification issue date
March 20, 2012
11.08.03h
Lipectomy and Liposuction
December 21, 2011
March 21, 2012
10.01.01i
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation Programs
January 18, 2012
March 30, 2012
07.00.14d
Cold Laser Therapy
February 29, 2012
March 30, 2012
07.03.05l
Sleep Disorder Testing
February 29, 2012
April 4, 2012
11.17.06h
Surgical and Minimally Invasive Treatments for Urinary Outlet Obstruction due
to Benign Prostatic Hyperplasia (BPH)
January 5, 2012
April 4, 2012
10.06.01e
Speech Therapy
January 5, 2012
April 4, 2012
07.13.07e
Corneal Pachymetry Using Ultrasound
January 5, 2012
April 4, 2012
10.04.01j
Pulmonary Rehabilitation
January 5, 2012
April 4, 2012
11.08.12g
Surgery for Gynecomastia
January 5, 2012
April 4, 2012
05.00.09e
Bone Growth Stimulators
January 5, 2012
April 4, 2012
05.00.37d
Compression Garments
January 5, 2012
April 5, 2012
07.03.09h
Electromyography (EMG) Studies: Needle EMG,
Surface EMG (SEMG)
January 6, 2012
April 5, 2012
07.03.18g
Nerve Conduction Studies (NCS) and Related
Electrodiagnostic Studies
January 6, 2012
April 5, 2012
07.03.20
Surface Electromyelogram
March 6, 2012
June 1, 2012
09.00.46f
High-Technology Diagnostic Radiology Services
March 2, 2012
To view the policy notifications, go to
the 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
website. Be sure to check back often, as the site is updated frequently.
Be sure to check back often, as the site is
updated frequently.
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