TitleWeb Policy notifications posted as of December 21, 2011
Professional; Facility; Ancillary
December 29, 2011
Page Content [
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 December 21, 2011.
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December 22, 2011
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05.00.14f
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High Frequency Chest Wall
Oscillation Devices
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November 22, 2011
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December 23, 2011
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00.01.25m
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PPO Network Rules for Provision of
Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and
Physical Medicine and Rehabilitative Services
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November 23, 2011
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January 1, 2012
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07.03.14e
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Intraoperative Neurophysiological
Monitoring (INM)
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October 3, 2011
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January 4, 2012
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05.00.59d
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Lower Limb Prosthesis
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December 5, 2011
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January 6, 2012
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08.00.18i
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Medical Foods, Low-Protein Modified
Food Products, Enteral Nutrition, and Nutritional Formulas
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December 7, 2011
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January 6, 2012
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05.00.32c
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Speech- and Non-Speech-Generating
Devices
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December 7, 2011
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January 6, 2012
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05.00.23b
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Electronic Speech Aids
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December 7, 2011
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January 10, 2012
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05.00.56e
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Hospital Beds and Accessories
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October 14, 2011
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January 11, 2012
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08.01.04
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Preventive Immunization
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October 13, 2011
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January 18, 2012
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11.14.02i
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Trigger Point Injections
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December 19, 2011
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January 20, 2012
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00.01.18b
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Reimbursement for Associated
Services Performed in Conjunction with Dental Services
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December 21, 2011
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January 20, 2012
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12.00.03a
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Alternative Therapies and
Complementary Medicine
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December 21, 2011
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January 20, 2012
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08.00.75d
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Erythropoiesis Stimulating Agents
(ESAs)
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December 21, 2011
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January 20, 2012
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00.10.21b
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Collection and Interpretation of
Physiologic Data
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December 21, 2011
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January 24, 2012
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08.00.62d
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Abatacept (Orencia®) for injection for intravenous use
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October 26, 2011
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January 24, 2012
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11.08.15m
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Reconstructive Breast Surgery
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October 26, 2011
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March 20, 2012
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11.08.03h
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Lipectomy and Liposuction
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December 21, 2011
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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 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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