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 10/24/2018

Topics due to be included in the Medical Policy Manual on 11/29/2018

Topics due to be included in the Medical Policy Manual on 12/30/2018

Topics due to be included in the Medical Policy Manual on 1/1/2019

Topics due to be included in the Medical Policy Manual on 1/3/2019

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Topics due to be included in the Medical Policy Manual on 10/24/2018:

Diagnosis and Treatment of Facet Joint Pain

Home Nutritional Support (Total Parenteral / Enteral Nutrition)

Non-invasive Positive Pressure Ventilators (In-Home Use)

Vulvectomy

Topics due to be included in the Medical Policy Manual on 11/29/2018:

Laboratory Tests for Heart Transplant Rejection

Negative Pressure Wound Therapy in the Outpatient Setting

Positron Emission Tomography (PET) for Miscellaneous Applications

Reduction Mammoplasty (Non-Cancerous)

Rhinoplasty

Spinal Cord Stimulation for the Treatment of Pain

Topics due to be included in the Medical Policy Manual on 12/30/2018:

Magnetic Resonance Imaging (MRI) of the Breast

Positron Emission Tomography (PET) for Cardiac Applications

Plasma Exchange

Testosterone Testing (total, free)

Three-Dimensional (3D) Printed Orthopedic Implants

Topics due to be included in the Medical Policy Manual on 1/1/2019:

Acupuncture

Topics due to be included in the Medical Policy Manual on 1/3/2019:

Bariatric Surgery

Coronary Computed Tomography Angiography (CCTA)


Last Review Date: 10/12/2018

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