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Policy notifications posted as of June 21, 2011

July 1, 2011

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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 June 21, 2011.

Policy effective date Notification title Notification issue date
June 22, 2011 00.01.51 Reporting of Healthcare Common Procedure Coding System (HCPCS) C Series Codes May 23, 2011
June 24, 2011 08.00.75b Erythropoiesis Stimulating Agents (ESAs) May 25, 2011
June 24, 2011 08.00.13i Immune Globulin: Intravenous (IVIG), Subcutaneous (SCIG) May 25, 2011
July 1, 2011 00.01.25l PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services April 1, 2011
July 1, 2011 00.01.14i Reporting and Documentation Requirements for Anesthesia Services April 1, 2011
July 6, 2011 05.00.62c Injectable Dermal Fillers June 6, 2011
July 6, 2011 05.00.38c Negative Pressure Wound Therapy (NPWT) Systems June 6, 2011
July 8, 2011 08.00.98 Eribulin Mesylate (HalavenTM) June 8, 2011
July 8, 2011 05.00.67e Wheelchair Options and Accessories June 8, 2011
July 20, 2011 12.04.03 Air or Sea Ambulance Transport Services June 20, 2011
July 27, 2011 05.00.70 Mechanical Stretching Devices for the Treatment of Joint Stiffness or Contractures April 28, 2011
August 24, 2011 09.00.36f First-Trimester Prenatal Screening for Fetal Aneuploidy May 26, 2011
August 31, 2011 11.01.06 Bone-Anchored (Osseointegrated) Hearing Aids, Implantable Bone-Conduction Hearing Aids, and Semi-Implantable Hearing Aids June 1, 2011
September 1, 2011 00.01.52 Always Bundled Procedure Codes June 3, 2011
September 1, 2011 11.05.02f Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy June 3, 2011
September 1, 2011 10.02.02e Chiropractic Spinal and Extraspinal Manipulation Therapy June 1, 2011
September 1, 2011 10.03.01b Physical Medicine and Rehabilitation Services June 1, 2011
September 1, 2011 11.02.01h Treatment of Varicose Veins of the Lower Extremities and Perforator Vein Incompetence June 8, 2011

To view the policy notifications, go to www.ibx.com/medpolicy, 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 Materials and Reports 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.

NaviNet? is a registered trademark of NaviNet, Inc., an independent company.

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