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MEDICAL POLICY - 1.01.525 Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis BCBSA Ref. Policy: 1.01.28 Effective Date: Jun. 1, 2025 Last ...
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MEDICAL POLICY - 10.01.533 Non-covered Experimental/Investigational Services Effective ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
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MEDICAL POLICY - 13.01.500 Prescription Digital Therapeutics BCBSA Ref. Policy: 3.03.02 Effective Date: Feb. 1, 2025 Last Revised: Jan. 14, 2025 Replaces: N/A RELATED MEDICAL ...
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MEDICAL POLICY - 2.01.535 Temporomandibular Joint Disorder BCBSA Ref. Policy: 2.01.21, 5.01.05 Effective Date: May 1, 2025 Last Revised: Apr. 7, 2025 Replaces: 2.01.21 RELATED ...
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MEDICAL POLICY - 2.02.515 Leadless Cardiac Pacemakers BCBSA Ref. Policy: 2.02.32 Effective Date: Aug. 1, 2024 Last Revised: July 8, 2024 Replaces: 2.02.32 RELATED MEDICAL ...
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MEDICAL POLICY - 2.04.507 Testing Serum Vitamin D Levels BCBSA Ref Policy: 2.04.135 Effective Date: Mar. 1, 2025 Last Revised: Feb. 24, 2025 Replaces: 2.04.135 RELATED MEDICAL ...
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MEDICAL POLICY - 5.01.512 Botulinum Toxins BCBSA Ref. Policy: 5.01.05 Effective Date: Apr. 1, 2025 Last Revised: Mar. 24, 2025 Replaces: N/A RELATED MEDICAL POLICIES: 2.01.535 ...
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PHARMACY / MEDICAL POLICY - 5.01.517 Use of Vascular Endothelial Growth Factor Receptor ... POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE ...
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PHARMACY POLICY - 5.01.539 Pharmacologic Treatment of Cystic Fibrosis Effective Date: May ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
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PHARMACY / MEDICAL POLICY - 5.01.544 Prostate Cancer Targeted Therapies Effective Date: ... POLICY CRITERIA | CODING | RELATED INFORMATION EVIDENCE REVIEW | REFERENCES | HISTORY ∞ ...
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PHARMACY POLICY - 5.01.553 Myalept (metreleptin) Effective Date: May 1, 2025 Last ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
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PHARMACY / MEDICAL POLICY - 5.01.556 Rituximab: Non-oncologic and Miscellaneous Uses BCBSA Ref. Policy: 5.01.24 Effective Date: Feb. 1, 2025* Last Revised: Jan. 27, 2025 Replaces: ...
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PHARMACY / MEDICAL POLICY - 5.01.558 Pharmacologic Treatment of High Cholesterol ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
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MEDICAL POLICY - 5.01.561 Repository Corticotropin Injection BCBSA Ref. Policy: 5.01.17 Effective Date: Apr. 1, 2025 Last Revised: Mar. 24, 2025 Replaces: 5.01.17 RELATED MEDICAL ...
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PHARMACY / MEDICAL POLICY - 5.01.565 Pharmacotherapy of Multiple Sclerosis Effective ... POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE ...
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PHARMACY / MEDICAL POLICY - 5.01.566 Pharmacotherapy of Thrombocytopenia Effective Date: ... POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE ...
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PHARMACY POLICY - 5.01.612 Pharmacologic Treatment of Cystinosis Effective Date: Mar. 1, ... below to be directed to that section. POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | ...
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MEDICAL POLICY - 7.01.48 Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions BCBSA Ref. Policy: 7.01.48 Effective Date: July 1, 2024 Last Revised: June 10, ...
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.../Management of Breast Implants BCBSA Ref. Policy: 7.01.22 Effective Date: Sept. 1, 2024 ... POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | REFERENCES | ...
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MEDICAL POLICY - 7.01.557 Gender Transition/Affirmation Surgery and Related Services ... POLICY CRITERIA | DOCUMENTATION REQUIREMENTS | CODING RELATED INFORMATION | EVIDENCE ...