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Medical Policy Upcoming Updates

Notification Date: May 17, 2023

Coverage Policies

Coverage Policies               Policy Type

Status

Effective Date

Determination

Summary of Changes

Genetic Testing – 27 total policies

 

 Coverage Re-review  07/01/2023 Covered for some indications; investigative and therefore not covered for all other indications

 

Changes reflect updated and validated genetic testing clinical criteria by Concert Genetics, an industry-leader in genetic testing technology assessment and policy development.

  • Changes to coverage determinations are policy dependent.
  • Refer to specific coverage policies for further information.
Intravascular Shockwave Lithotripsy for Treatment of Coronary Artery Disease  Coverage New  07/17/2023 Investigative and therefore not covered  Investigative: Intravascular shockwave lithotripsy for treatment of coronary artery disease. Reliable evidence does not permit conclusions concerning its effectiveness.
Radiofrequency Ablation (RFA) of Uterine Fibroids   Coverage

New

07/17/2023 Covered for some indications; investigative and therefore not covered for all other indications
 

 

Not investigative: Laparoscopic RFA of uterine fibroids

Investigative: Transcervical RFA of uterine fibroids. Reliable evidence does not permit conclusions concerning its effectiveness.

Date: 5/5/2024 2:34:08 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CDWEB01