Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease
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Re-reviewed
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5/17/2017
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Now covered for some indications; investigative and therefore not covered for all other indications.
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Change in determination
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Not investigative for the treatment of gatroesophageal reflux disease (GERD) that is refractive to medical treatment.
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Investigative for all other indications, including but not limited to, Barrett's Esophagus
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Provider Alert sent 5/17/17.
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Biventricular Pacing (Cardiac Resynchronization Therapy) for Heart Failure
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Re-reviewed
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7/17/2017
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Covered for some indications; investigative and therefore not covered for all other indications.
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No change in determination
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Sensory and Auditory Integration Therapies
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Re-reviewed
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7/17/2017
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Investigative and therefore not covered
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No change in determination
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Molecular Profiling in Colorectal Cancer to Guide Treatment
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New/Re-reviewed
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7/17/2017
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Covered for some indications; investigative and therefore not covered for all other indications.
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Title change:
- Formerly titled Gene Expression Profiling Assays for Predicting Colon Cancer Recurrence Risk
Expanded scope of policy:
- Added four genes/tests recommended by professional organizations and found all not-investigative
- Multigene panels that include any of the above genes/tests are not investigative
- No change in determination for multigene expression profiling assays for predicting recurrence risk in CRC (e.g. OncotypeDx Colon)
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Non-Invasive Measurement of Left Ventricular End Diastolic Pressure
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Re-reviewed
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7/17/2017
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Investigative and therefore not covered
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No change in determination
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