| Medical Policy | Revision |
|---|---|
| Whole Body Computed Tomography Scan as a Screening Test | Policy titled “Whole Body Computed Tomography Scan as a Screening Test” reinstated. Policy statement updated: “Whole body computed tomography scan as a screening test is considered investigational. BCBSNC does not provide coverage for investigational services or procedures.” Description, Policy Guidelines and References updated. Related policies section added. Code 76497 added to Billing/Coding section. Specialty Matched Consultant Advisory Panel review 11/2025. Medical Director review 11/2025. Notification given 1/21/26 for effective date 4/1/26. |
| Transcranial Magnetic Stimulation as a Treatment of Depression and Other Psychiatric/Neurologic Disorders | Updated Regulatory Status. Updated Related policies. Updated When Covered section #2.a to read “Failure of 2 trials of psychopharmacologic agents to treat major depressive disorder including 2 different agent classes during the current depressive episode for adults (18 and up) and for adolescents (15-17); or” and #2.b to read “Inability to tolerate a therapeutic dose of medications as evidenced by 2 trials of psychopharmacologic agents with distinct side effects.” Updated When Covered #3 for clarity. Updated When Covered for Repeat rTMS and Initial/Repeat therapy to read “At least 6 months has passed since the end of the initial course of treatment.” Updated When Not Covered to add “Repetitive TMS of the brain is considered investigational as a treatment of active substance use or primary substance use disorder within the last 90 days.” Updated references. Medical Director review 1/2026. Specialty Matched Consultant Advisory Panel review 1/2026. Notification given 1/21/2026 for effective date 4/1/2026. |
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