Upcoming Medical Policies
BlueCross BlueShield of Tennessee

Each medical policy listed below will become effective on the date indicated, and will be included in the Medical Policy Manual for BlueCross BlueShield of Tennessee on that effective date.

Medical policies are developed using an evidence-based evaluation process. The medical evidence used in this process comes from several sources, including independent medical technology review organizations, the peer reviewed medical literature, and opinions from appropriate network specialists. All Medical Policies are reviewed by a panel of internal and external physicians before being adopted by the company.

Topics due to be included in the Medical Policy Manual on 11/1/2017

Topics due to be included in the Medical Policy Manual on 12/1/2017

Topics due to be included in the Medical Policy Manual on 12/20/2017

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Topics due to be included in the Medical Policy Manual on 11/1/2017:

Ablation Procedures for Peripheral Neuromas

Human Amniotic Membrane Grafts and Amniotic Fluid Injections

Magnetic Resonance Imaging (MRI) of the Breast

Whole Exome and Genome Sequencing

Topics due to be included in the Medical Policy Manual on 12/1/2017:

Implantable Hypoglossal Nerve Stimulation

Noninvasive Techniques for Evaluation and Monitoring of Chronic Liver Diseases

Topics due to be included in the Medical Policy Manual on 12/20/2017:

Bariatric Surgery

BRCA1, BRCA2 and PALB2 Testing for Breast, Ovarian and Other Cancers

Cardioverter Defibrillators

Genetic Testing (CFTR mutations) for Cystic Fibrosis

Osteochondral Allografting

Osteochondral Autografting

Percutaneous Vertebroplasty, Kyphoplasty and Sacroplasty


Last Review Date 10/1/2017

Medical Policy Comments:

Please reference the policy name in your comments.
To submit comments about the upcoming Medical policies:
Click the “Medical Policy Comments” above or click here: Comments or Feedback.

Comments can also be mailed to:

BlueCross BlueShield of Tennessee
Medical Policy
1 Cameron Hill Circle
Chattanooga, TN 37402