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Medical Policy Update for March 6, 2023

Medical Guidelines

Update
Ambulance and Medical Transport Services (PDF)

Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director Review 2/2024. No change to policy statement.

Chelation Therapy (PDF)

Policy guidelines updated for clarity. References updated. Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director Review 2/2024. No change to policy statement.

Clinical Trial Services (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director review 2/2024. No change to policy.

Complementary and Alternative Medicine (PDF)

References updated.  Specialty Matched Consultant Advisory Panel review 02/2024. Medical Director review 2/2024. No change to policy statement.

Electrical Stimulation for the Treatment of Arthritis (PDF)

Description, regulatory status, policy guidelines, and references updated. No change to policy statement. Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director Review 2/2024.

Infusion Therapy in the Home (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 2/2024. Updated Billing/Coding section to remove ICD-10 code B60.0 and add B60.00, B60.01, B60.02, B60.03, B60.09. Medical Director review 2/2024. No change to policy statement.

Inpatient Interfacility Transfers (PDF)

References updated. No change to policy statement. Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director review 2/2024.

Observation Room Services (PDF)

Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director review 2/2024. No change to policy statement.

Remote Therapeutic and Physiologic Monitoring (PDF)

References updated. Medical Director Review 2/2024. Specialty Matched Consultant Panel review 2/2024. No change to policy statement.

Skilled Nursing Facility Care (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director review 2/2024. No change to policy statement.

Skilled Nursing Services (PDF)

References updated. Specialty Matched Consultant Advisory Panel review 2/2024. Medical Director Review 2/2024. No change to policy statement.