Medical Policy Updates

Blue Cross and Blue Shield of North Carolina Medical Policy Update September 21, 2021

Medical Guidelines Reason for Update
Chemoembolization of the Hepatic Artery, Transcatheter Approach Reference added. Description section updated. Policy Guidelines section updated.
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors Reference added. Description section updated. Policy Guidelines updated. No change to policy statements.
Endovascular Therapies for Extracranial Vertebral Artery Disease Reference added.
MRI-Guided Focused Ultrasound (MRgFUS) Reference added. Description updated. Regulatory Status updated. Related policy titled “Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors” removed. Policy Guidelines updated.
Surgical Treatment of Chest Wall Deformities (Congenital or Acquired) Specialty Matched Consultant Advisory Panel 8/2021. Medical Director review 8/2021.
Synthetic Cartilage Implants for Joint Pain Reference added.
Venous and Arterial Thrombosis Risk Testing AHS – M2041 Title correction as follows: added the #1 to read M2041.