20-946 Medical Policies - 3rd Quarter 2020
Summary
Medical policies approved in the third quarter of 2020 by Centene's Corporate Clinical Policy Committee and/or Health Net's Medical Advisory Council include new policies for respiratory viral panel testing and thymus transplantation, and updated criteria for services such as trigger point injections (now a maximum of four per year, down from six), sacroiliac joint fusion, sacral nerve stimulation and mechanical stretching devices. Some codes were added, moved or removed, including L8613 (removed) and L8692 (added) for bone-anchored hearing aids. For Cal MediConnect members, Medicare and Medicaid national and local policies must be applied first for primary coverage guidance.
Get alerts when payers change rules like this one
We check Health Net and other payers every day and email you when a change matches your specialty and state.