| 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. |
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