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 23,
2011.
Policy effective date
Notification title
Notification
issue date
September 1, 2011
08.01.03 Belatacept (Nulojix?)
September 14, 2011
September 30, 2011
06.02.10g Genetic Testing for Inherited Susceptibility to Colon Cancer and
Microsatellite Instability Testing (Familial Adenomatous Polyposis and Lynch
Syndrome)
August 31, 2011
September 30, 2011
07.07.04b Noncontact Normothermic Wound Therapy
August 31, 2011
October 1, 2011
00.03.07 Laboratory Services for Members Enrolled in Health Maintenance
Organization (HMO) or Health Maintenance Organization Point-of-Service(HMO-POS)
Products
July 1, 2011
October 1, 2011
11.08.20h Wound Care: Bioengineered Skin Substitutes
July 1, 2011
October 3, 2011
09.00.46d High Technology Diagnostic Radiology Services
September 2, 2011
October 3, 2011
09.00.47 Magnetic Resonance Angiography (MRA) of the Spine
September 2, 2011
October 3, 2011
09.00.51 Positron Emission Mammography (PEM)
September 2, 2011
October 4, 2011
08.00.44i Zoledronic Acid (Zometa?, Reclast?)
July 6, 2011
October 5, 2011
11.08.06f Abdominoplasty and/or Panniculectomy
July 7, 2011
October 14, 2011
07.13.05e Photodynamic Therapy (PDT) Using Verteporfin (Visudyne?)
September 14, 2011
October 27, 2011
00.10.18g Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS
July 29, 2011
November 16, 2011
03.00.32 Modifier 52 Reduced Services
August 18, 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.