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Medical Policy Update for March 6, 2023

Medical Guidelines

Update
Ambulance and Medical Transport Services

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

Chelation Therapy

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

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

Complementary and Alternative Medicine

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

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

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

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

Observation Room Services

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

Remote Therapeutic and Physiologic Monitoring

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

Skilled Nursing Facility Care

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

Skilled Nursing Services

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

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