TitleWeb Policy notifications posted as of January 29, 2013
Professional; Facility; Ancillary
February 1, 2013
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 January 29, 2013.
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February 1, 2013
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11.00.14c
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Treatment of Twin-Twin Transfusion
Syndrome (TTTS)
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January 2, 2013
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February 1, 2013
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11.14.06f
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Autologous Chondrocyte Implantation
(ACI)/Carticel® and Other Cell-based Treatments of Focal
Articular Cartilage Lesions
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January 2, 2013
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February 1, 2013
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11.14.09e
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Osteochondral Autograft
Transplantation (OAT) Procedure
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January 2, 2013
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February 1, 2013
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11.14.12c
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Osteochondral Allograft
Transplantation
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January 2, 2013
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February 1, 2013
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05.00.09f
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Electrical Bone Growth Stimulation
and Ultrasound Accelerated Fracture Healing System
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January 2, 2013
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February 5, 2013
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00.01.44e
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Never Events and Preventable Adverse
Events
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November 7, 2012
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February 13, 2013
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08.00.26q
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Botulinum Toxin Agents
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January 14, 2013
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February 15, 2013
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08.00.13m
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Immune Globulin: Intravenous (IVIG),
Subcutaneous (SCIG)
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January 16, 2013
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February 15, 2013
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08.00.50k
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Rituximab
(Rituxan®)
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January 16, 2013
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February 15, 2013
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08.00.87a
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Pemetrexed
(Alimta®)
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January 16, 2013
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February 15, 2013
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11.02.10h
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Endovascular Grafts for Abdominal
Aortic Aneurysms (AAA), Aortic-Iliac Aneurysms, and Infrarenal Aortic
Aneurysms
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January 16, 2013
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February 25, 2013
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07.08.03
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Medical and Surgical Treatment of
Temporomandibular Joint Disorder
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November 27, 2012
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March 5, 2013
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11.14.26
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Surgical Treatments of Athletic
Pubalgia
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December 5, 2012
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April 2, 2013
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11.14.08c
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Orthognathic Surgery
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January 2, 2013
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April 2, 2013
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08.00.81b
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Bendamustine Hydrochloride
(Treanda®)
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January 2, 2013
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April 2, 2013
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11.14.03e
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Meniscal Allograft
Transplantation
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January 2, 2013
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April 4, 2013
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08.00.25g
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Treatment of Pulmonary Hypertension
with Intravenous, Subcutaneous, and Inhaled Pharmacologic Agents Intended for
Home Use
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January 4, 2013
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April 16, 2013
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07.02.07g
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Ambulatory, Real-Time Cardiac
Surveillance System
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January 16, 2013
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April 16, 2013
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11.05.02g
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Blepharoplasty, Repair of
Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy
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January 16, 2013
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April 17, 2013
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11.15.09d
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Denervation of the Spinal Nerves for
Chronic Facet Pain
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January 17, 2013
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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.
NaviNet® is a registered trademark of
NaviNet, Inc., an independent company.
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