CareFirst Updates Healthcare Policy – Effective June 1, 2023
Our Healthcare Policy department continuously reviews medical policies and operating procedures as new, evidence-based information becomes available regarding advances on new or emerging technologies, as well as current technologies, procedures and services
The table below is designed to provide updates on changes to existing or new local policies and procedures during our review process. Each local policy or procedure listed includes a brief description of its status, select reporting instructions and effective dates. Policies from non-local accounts, such as NASCO and Federal Employee Program (FEP), may differ from our local determinations. Please verify member eligibility and benefits prior to rendering service through CareFirst on Call (Professional and Institutional) or CareFirst Direct.
Note: The effective dates for the policies listed below represent claims with dates of service processed on and after that date.
|
Medical Policy and/or Procedure |
Actions, Comments and Reporting Guidelines |
Policy Status and Effective Date |
|---|---|---|
|
1.03.001 - Orthotic Devices and Orthopedic Appliances |
Updated Policy section. Updated Policy Guidelines section. Updated Benefit Applications section. Updated Provider Guidelines section. Report service using appropriate HCPCS and ICD-10 code. Updated Cross References to Related Policies and Procedures section. Updated References. Refer to policy for details. |
Periodic review and update. Effective 06/01/2023 |
|
1.04.001A - Prosthetics |
Report service using appropriate HCPCS and ICD-10 code. Updated Cross References to Related Policies and Procedures section. Updated References. Refer to policy for details. |
Revision. Effective 06/01/2023 |
|
7.01.003 - Bone-Anchored Hearing Aids |
Updated Policy section. Updated Policy Guidelines section. Added Provider Guidelines section. Report service using appropriate HCPCS and ICD-10 code. Updated Cross References to Related Policies and Procedures section. Updated References. Refer to policy for details. |
Periodic review and update. Effective 06/01/2023 |
|
7.01.018 - Foot Care Services |
Updated Description section. Updated Policy section. Updated Policy Guidelines section. Added Benefit Applications section. Updated Provider Guidelines section. Report service using appropriate category I CPT®, HCPCS and ICD-10 code. Updated Cross References to Related Policies and Procedures section. Updated References. Refer to policy for details. |
Periodic review and update. Effective 06/01/2023 |
|
7.01.135 - Balloon Dilation of the Eustachian Tube |
Updated Policy section. Updated Policy Guidelines section. Added Benefit Applications section. Added Provider Guidelines section. Report service using appropriate category I CPT® and ICD-10 code. Updated Cross References to Related Policies and Procedures section. Updated References. Refer to policy for details. |
Periodic review and update. Effective 06/01/2023 |