The Regence Group Upcoming Reviews

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Regence medical policies are evidence-based and take into account the available scientific evidence published in peer-reviewed journals, as well as evidence-based clinical practice guidelines and specialty society statements. The process for Regence medical policy development is described in the Introduction to the Regence Medical Policy Manual.

In addition, Regence values the experience and opinions of practicing physicians and other health care providers. Your feedback on our policies is welcome and is an important part of our annual policy review process.

You may provide feedback to us on the following policies by:

Responding to the email that directed you to this page. Please be sure to identify the policy you are providing comments on in your email response.
Accessing our contact page: Contact Medical Policy Staff. Please be sure to identify the policy in the policy name field, as well as your name, specialty and contact information. (Note: contact information only needs to be included if you do not regularly receive medical policy email notification from Regence.)

POLICIES SCHEDULED FOR REVIEW, LISTED BY SPECIALTY:

Anesthesiology - (1)

Surgical Site of Service – Hospital Outpatient, Utilization Mangement 19

Cardiology - (1)

Surgical Ventricular Restoration, Surgery 149

Dentistry - (1)

Dental and Orthodontic Treatment for Craniofacial Anomalies, Allied Health 33

Dermatology - (1)

Skin Lesion Imaging and Spectroscopy, Medicine 174

Endocrinology - (1)

Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75

ENT - (1)

Dental and Orthodontic Treatment for Craniofacial Anomalies, Allied Health 33

Gastroenterology - (2)

Confocal Laser Endomicroscopy, Medicine 151
Surgical Site of Service – Hospital Outpatient, Utilization Mangement 19

General Surgery - (4)

Definitive Lower Limb Prostheses, Durable Medical Equipment 18
Reduction Mammaplasty, Surgery 60
Surgical Ventricular Restoration, Surgery 149
Surgical Site of Service – Hospital Outpatient, Utilization Mangement 19

Genetics- (3)

Evaluating the Utility of Genetic Panels, Genetic Testing 64
Genetic Testing for Rett Syndrome, Genetic Testing 68
Genetic Testing for Macular Degeneration, Genetic Testing 75

Heamtology Oncology - (3)

BRAF Genetic Testing To Select Melanoma or Glioma Patients for Targeted Therapy, Genetic Testing 41
Radioembolization, Transarterial Embolization (TAE), and Transarterial Chemoembolization (TACE), Medicine 140
Percutaneous Neuromodulation Therapy (PNT) and Percutaneous Electrical Nerve Stimulation (PENS), Surgery 44

Infectious Disease - (2)

Identification of Microorganisms Using Nucleic Acid Probes, Genetic Testing 85
Whole Body Dual X-ray Absorptiometry (DXA) to Determine Body Composition, Radiology 41

Naturopath - (1)

Evaluating the Utility of Genetic Panels, Genetic Testing 64

Neurology - (2)

Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75
Genetic Testing for Rett Syndrome, Genetic Testing 68

Neurosurgery - (5)

Decompression of Intervertebral Discs Using Laser Energy (Laser Discectomy) or Radiofrequency Energy (Nucleoplasty), Surgery 131
Automated Percutaneous and Percutaneous Endoscopic Discectomy, Surgery 145
Total Facet Arthroplasty, Surgery 171
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy of Intracranial, Skull Base, and Orbital Sites, Surgery 213
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy for Tumors Outside of Intracranial, Skull Base, or Orbital Sites, Surgery 214

Obstetrics and Gynecology - (3)

Evaluating the Utility of Genetic Panels, Genetic Testing 64
Identification of Microorganisms Using Nucleic Acid Probes, Genetic Testing 85
Reduction Mammaplasty, Surgery 60

Oncology - (5)

Evaluating the Utility of Genetic Panels, Genetic Testing 64
Confocal Laser Endomicroscopy, Medicine 151
Reduction Mammaplasty, Surgery 60
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy of Intracranial, Skull Base, and Orbital Sites, Surgery 213
Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy for Tumors Outside of Intracranial, Skull Base, or Orbital Sites, Surgery 214

Ophthalmology - (1)

Genetic Testing for Macular Degeneration, Genetic Testing 75

Oral Surgeons - (1)

Dental and Orthodontic Treatment for Craniofacial Anomalies, Allied Health 33

Orthopedics - (5)

Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75
Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions, Surgery 87
Decompression of Intervertebral Discs Using Laser Energy (Laser Discectomy) or Radiofrequency Energy (Nucleoplasty), Surgery 131
Automated Percutaneous and Percutaneous Endoscopic Discectomy, Surgery 145
Total Facet Arthroplasty, Surgery 171

Pediatric Surgery - (1)

Dental and Orthodontic Treatment for Craniofacial Anomalies, Allied Health 33

Pediatrics - (2)

Dental and Orthodontic Treatment for Craniofacial Anomalies, Allied Health 33
Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75

Physiatry - (2)

Definitive Lower Limb Prostheses, Durable Medical Equipment 18
Noninvasive Ventilators in the Home Setting, Durable Medical Equipment 87

Physical Medicine - (2)

Power Wheelchairs: Group 3, Durable Medical Equipment 37
Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75

Plastic Surgery - (2)

Dental and Orthodontic Treatment for Craniofacial Anomalies, Allied Health 33
Reduction Mammaplasty, Surgery 60

Podiatry - (1)

Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions, Surgery 87

Primary Care - (5)

Definitive Lower Limb Prostheses, Durable Medical Equipment 18
Power Wheelchairs: Group 3, Durable Medical Equipment 37
Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75
Evaluating the Utility of Genetic Panels, Genetic Testing 64
Whole Body Dual X-ray Absorptiometry (DXA) to Determine Body Composition, Radiology 41

Psychiatry - (1)

Evaluating the Utility of Genetic Panels, Genetic Testing 64

Pulmonology - (2)

Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75
Noninvasive Ventilators in the Home Setting, Durable Medical Equipment 87

Radiation Oncology - (3)

Radiology - (6)

Radioembolization, Transarterial Embolization (TAE), and Transarterial Chemoembolization (TACE), Medicine 140
Whole Body CT Screening, Radiology 40
Whole Body Dual X-ray Absorptiometry (DXA) to Determine Body Composition, Radiology 41
Percutaneous Neuromodulation Therapy (PNT) and Percutaneous Electrical Nerve Stimulation (PENS), Surgery 44
Decompression of Intervertebral Discs Using Laser Energy (Laser Discectomy) or Radiofrequency Energy (Nucleoplasty), Surgery 131
Automated Percutaneous and Percutaneous Endoscopic Discectomy, Surgery 145

Rehabilitation Medicine - (2)

Definitive Lower Limb Prostheses, Durable Medical Equipment 18
Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions, Surgery 87

Rheumatology - (1)

Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75

Sleep Physicians - (1)

Durable Medical Equipment, Prosthetic and Orthotic Replacements, Duplicates, Repairs, and Upgrades to Existing Equipment, Durable Medical Equipment 75

Urology - (1)

Nerve Graft with Radical Prostatectomy, Surgery 117


	The Blue Cross and/or Blue Shield Plans comprising The Regence Group serve Idaho, Oregon, Utah and much of Washington state. The Regence Group and each of its affiliate Plans are independent licensees of the Blue Cross and Blue Shield Association.