Skip to main content
Shop Plans Learn more about our coverage options including health, Medicare, dental and vision options for you, your family or your employees. Get Started Individual & Family Medicare Employer Vision Dental International Travel Find Care FAQ Blog Members Stay on top of your health care with helpful member resources. Members Home Medicare Health Dental Vision Find Care Member Knowledge Center Member Forms Medicare Forms Library Make a Payment Federal Employees Student Blue Healthy Blue Providers Access tools, policies and the latest information to help you care for our members. Providers Home Network Participation Networks & Programs Claims, Appeals & Inquiries Prior Authorization Services & CPT codes Prescription Drug Search Policies, Guidelines & Codes Provider News Provider FAQ Contact Us Employers Learn about our coverage options for small and large employers, and access tools and resources for your group. Employers Home Shop Employer Plans Employer Portal Support Member Forms & Resources Find Care Blog Agents Access the tools you need: rate quotes, applications, forms, the latest industry news, marketing materials and more. Agents Home Agent Services Check Eligibility Find Care Member Forms & Resources Medicare Forms Library
Contact Us
Log In
I am ... Please select A member A provider An employer An agent
Log in to Agent Services
Log in to Employer Services Register for Employer Services I'm registered but need portal access
Username Forgot username? Continue to Log In Register for Blue Connect Need help? Learn how to log in.
Log in to Blue e Register for Blue e Log in to Dental Blue
Back
Notification of Medical Policy Revisions for August 2023 August 01, 2023
Medical PolicyRevision
Investigational-Experimental Services

I. Annual Review:

Medicare Claims Processing Manual Chp 32 sections 68 & 69

Blue Medicare EOC Chp 4 section 3.1

BCBSNC Corporate Medical Policy: Investigational (Experimental) Services

Medicare Managed Manual Chp 4 section 10.7.2 & 90.5

Social Security Exclusions from Coverage

CMS Manual System Pub 100-02 Transmittal 198, change request 8921

MLN Matters MM8921

Medicare Benefit Manual Chp 14 section 20

II. No CMS Updates; Minor Revisions only

Orthotics: Ankle.Foot.Knee.Ankle.Foot

I. Annual Review:

Medicare National Coverage Determination Manual Chp 1 section 280.1

LCD L33686

CGS DME MAC; Correct Coding- Definitions Used for Off the Shelf versus Custom Fitted Prefabricated; Orthotics (Braces)

MLN Matters MM8531; CR 8531

Medicare Benefit Policy Manual Chp 15 section 130

II. No CMS Updates. Verbiage added to reflect LCD. Minor Revisions only

Orthotics: Lumbar.Sacral-Thoracic.Lumbar

I. Annual Review Medicare National Coverage Determination Manual Chp 1 Part 4

LCD L33790

CGS DME MAC; Correct Coding- Definitions Used for Off the Shelf versus Custom Fitted Prefabricated; Orthotics (Braces)

MLN Matters MM8531; CR 8531

LCA A52500

II. No CMS Updates. Minor Revisions only

Oxygen and Oxygen Supplements

I. Annual Review

LCD L33797

NCD 240.2

MLN Matters MM6990

Medicare National Coverage Analysis (NCA) Home Use of Oxygen CAG-00296R3

II. CMS Update: Group III, Cluster Headache and OSA/Polysomnography/Home Sleep Tests criteria updated.

Vagus Nerve Stimulators

I. Annual Review

NCD 160.18

Medicare National Coverage Analysis (NCA) for Vagus Nerve Stimulation for Treatment of Resistant Depression (TRD); (CAG-00313R) Decision Memo

Medicare National Coverage Analysis (NCA) for Vagus Nerve Stimulation (VNS) for Treatment Resistant Depression (TRD) (CAG-00313R2) Decision Memo

II. Annual Review. No CMS Updates. Minor Revisions only—Verbiage added to reflect NCD