UM Guidelines
Ambulatory Goal Length of Stay

Inpatient and Surgical Care (ISC)

BCBST modification effective June 11, 2013*

Changed:
   
The following Goal Length of Stays have been modified to Observation.
 

ORG

Guideline

BCBST Modified GLOS

S-60

Achilles Tendon Repair

Observation

S-1045

Acromioplasty and Rotator Cuff Repair

Observation

M-52

Angioplasty, Percutaneous Coronary Intervention

Observation

A-0167

Cardiac Pacemaker Implantation

Observation

A-0234

Carotid Artery Angioplasty with Stent Placement (CAS)

Observation

A-0403

Deep Brain Stimulation (DBS)

Observation

S-430

Enucleation or Evisceration of Eyeball

Observation

S-460

Femur Fracture, Removal of Internal Fixation Device

Observation

S-505

Fundoplasty, Esophagogastric, by Laparoscopy

Observation

S-515

Gastric Restrictive Procedure without Gastric Bypass by Laparoscopy

Observation

S-665

Hysterectomy, Laparoscopic

Observation

S-660

Hysterectomy, Vaginal

Observation

S-770

Knee: Patella Reconstruction or Realignment

Observation

A-0247

Mandibular Osteotomy

Observation

S-860

Mastectomy, Complete

Observation

S-858

Mastectomy, Partial (Lumpectomy)

Observation

S-900

Orbital Exploration

Observation

S-910

Orchidectomy

Observation

S-930

Parathyroidectomy

Observation

S-1030

Retinal Detachment Repair

Observation

S-1090

Thyroidectomy

Observation

S-1160

Urethral Diverticulum, Excision

Observation

A-0287 Uterine Artery Embolization

Observation

A-0226 Vertebroplasty and Kyphoplasty

Observation

S-1190 Vitrectomy

Observation

S-1210

Wrist Arthroplasty

Observation

References

BlueCross BlueShield of Tennessee network physicians. April - June 2013.