The policies and procedures in this Medical Policy Reference Manual are for informational use only. It is an informational database, which, along with other documentation, is used to assist the Plan* in reaching decisions on matters of medical policy, and related member/subscriber coverage. These policies and procedures are not intended to certify or authorize coverage availability and do not serve as an explanation of benefits or a contract. Member/subscriber coverage will vary from contract to contract and by line of business. Benefits will only be available upon the satisfaction of all terms and conditions of coverage. Some benefits may be excluded from individual coverage contracts.
These medical policies are not intended to replace or substitute for the independent medical judgment of a practitioner or other health professional for the treatment of an individual.
Medical technology is constantly changing and CareFirst reserves the right to review and update its medical policy as necessary.
For specific billing codes and instructions, refer to the appropriate coding manual, such as the Health Care Financing Administration Common Procedure Coding System (HCPCS) (National Level II Medicare Codes), the International Classification of Diseases and the American Medical Association's Current Procedural Technology.
*For the purposes of this Manual, 'Plan' refers to all lines of business and affiliates of CareFirst BlueCross BlueShield.