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Medical Policy Update For April 19, 2022 April 19, 2022

Medical Guidelines

Reason for Update

Convection-Enhanced Delivery of Therapeutic Agents to the BrainSpecialty Matched Consultant Advisory Panel review 3/16/2022. Reference added. No change to policy statement.
Cord Blood as a Source of Stem CellsSpecialty Matched Consultant Advisory Panel review 3/16/2022. No change to policy statement.
Monoclonal Antibody Imaging for Prostate CancerSpecialty Matched Consultant Advisory Panel review 3/16/22. No change to policy statement.
Oncologic Applications of Photodynamic Therapy, Including Barrett’s EsophagusSpecialty Matched Consultant Advisory Panel review 3/16/2022. Reference added. No change to policy statement.
Pneumatic Compression Pumps for Treatment of Lymphedema and Venous UlcersReferences added. Regulatory status updated. Policy Guidelines updated. Policy statement added that the use of lymphedema pumps applied to the head and neck to treat lymphedema is considered investigational. Notification given 2/8/2022 for policy effective date 4/19/2022.

 

 

 

 

Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Learn more about our non-discrimination policy and no-cost services available to you.

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