Medical Policy Updates

Medical Policy Update for November 29, 2022

Medical Guidelines	Reason for Update
Allergy Immunotherapy Desensitization	References updated. Specialty Matched Consultant Advisory Panel review 11/2022. Medical Director review 11/2022.
Allergy Skin and Challenge Testing	References updated. Removed code 95071 from Billing/Coding section. Specialty Matched Consultant Advisory Panel review 11/2022. Medical Director review 11/2022.
Chromoendoscopy as an Adjunct to Colonoscopy	References updated. Specialty Matched Consultant Advisory Panel 11/2022. Medical Director review 11/2022.
Confocal Laser Endomicroscopy	Minor edits to the Description section for clarity, no change to policy statement. References updated. Specialty Matched Consultant Advisory Panel 11/2022. Medical Director review 11/2022.
Gastroesophageal Reflux Disease Transendoscopic Therapies	Minor revisions and updates to Description section. Billing/Coding and References sections updated. No change to policy statement. Specialty Matched Consultant Advisory Panel 11/2022. Medical Director review 11/2022.
Investigational (Experimental) Services	Specialty Matched Consultant Advisory Panel review 11/2022. COVID-19 related changes extended “effective from March 6, 2020, through March 31, 2023. We will reevaluate if an additional extension is needed as we approach March 31.” When Not Covered and Policy Guidelines sections updated for clarity. Medical Director review 11/2022.
Medical Necessity	Medical Director Review 11/2022. Specialty Matched Consultant Advisory Panel review 11/2022. Policy Statement and Benefits Application sections updated for clarity.
Transanal Endoscopic Microsurgery	References updated. Minor edits to Policy Guidelines section for clarity, no change to policy statement. Specialty Matched Consultant Advisory Panel 11/2022. Medical Director review 11/2022.