Electric Cell-Signaling Treatment (e.g., neoGEN® System, Sanexas Intl.) |
New |
11/21/2022 |
Investigative and therefore not covered |
N/A |
Genetic Testing: Non-Invasive Prenatal Screening (NIPS) |
New |
11/21/2022 |
Medically necessary for some indications; investigational for all other indications. |
*Replaces former Medica coverage policy, Maternal Plasma Tests for Detection of Cell-free Fetal DNA for Analysis of Chromosomal Aneuploidies.
Criteria for maternal serum screening (e.g., free or total beta-HCG and PAPP-A) has been added.
|
Genetic Testing: Preimplantation Genetic Testing |
New |
11/21/2022 |
Medically necessary for some indications; investigational for all other indications. |
N/A |
Genetic Testing: Prenatal And Preconception Carrier Screening |
New |
11/21/2022 |
Medically necessary for some indications; investigational for all other indications. |
N/A
|
Genetic Testing: Prenatal Diagnosis (Via Amniocentesis, Cvs, Or Pubs) And Pregnancy Loss |
New |
11/21/2022 |
Medically necessary for some indications; investigational for all other indications. |
N/A
|