Medical policy updates
Below are links to updated, or new policies. Remember, you can always find the latest updates to policies in the Medical Policies section of the Provider Manual.
Effective Aug. 27, 2019
- Mental Health Residential Treatment: Adult – 91608
Added "luxury treatment programs" to exclusions.
Note: This policy was merged with 91607 on Nov. 13, 2019. Please see Behavioral Health Residential Treatment - 91625
- Mental Health Residential Treatment: Child/Adolescent – 91607
Added "luxury treatment programs" to exclusions.
Note: This policy was merged with 91608 on Nov. 13, 2019. Please see Behavioral Health Residential Treatment - 91625
- Surgical Treatment of Obesity – 91595
Language added to broaden the type of tobacco cessation tests needed for bariatric surgery and added a description of tobacco cessation testing.
- Transplantation of Solid Organs - 91272
Language added to broaden the type of tobacco cessation tests for transplantation of organs and added a description of tobacco cessation testing.
- Bone Density Studies – 91494
Language added to clarify dual-energy x-ray absorptiometry (DXA) scans do not require PA.