Medical Policy updates
Approved new or revised Medical Policies and their effective dates are posted on our website the first day of each month. These policies may impact your reimbursement and your patients’ benefits. You may view all active and pending Policies or view draft Medical Policies and comment.

While information on new or revised Medical Policies is also published in this newsletter for your convenience, please visit our website for access to the most complete and up-to-date Medical Policy information. If you have any questions about BCBSNM’s Medical Policies, please call Health Services at (505) 816-2093.

Effective date

Policy number

Policy name

11/15/09

SUR705.032

Shoulder Resurfacing

11/15/09

SUR705.013

Electrical Bone Growth Stimulation (EBGS)

12/1/09

RX501.056

Pulmonary Arterial Hypertension (PAH) Drug Therapies

12/1/09

SUR707.016

Varicose Vein Management

1/1/10

RX501.007

Subcutaneous Hormone Implants

1/1/10

MED207.147

Immune Cell Function Assay in Solid Organ

Transplantation

1/15/10

OTH903.015

Photodynamic Therapy for Subfoveal Choroidal

Neovascularization

1/15/10

SUR702.014bu

Radiofrequency Facet Joint Denervation

1/15/10

SUR702.015bu

Facet Joint Injections

2/1/10

RX502.030

Rituxan® (Rituximab) for Treatment of Cancer and

Hematologic Conditions

Issue 12, 2009 • Blue Review • www.bcbsnm.com