Procedures for which BCBS Michigan has changed a billing guideline or added a new payable group will appear under Updates to Payable Procedures.
| UPDATES TO PAYABLE PROCEDURES | |
| 86304 | Basic Benefit Policy
CA-125 remains experimental for asymptomatic patients as a screening technique and remains payable for patients who meet specified criteria. Those inclusionary guidelines have been updated, effective Nov. 1, 2011. |
| 88299
Because there is no code for this service, the above procedure should be reported with this not otherwise classified code. |
Basic Benefit Policy
Genetic testing for arrhythmogenic right ventricular cardiomyopathy (ARVC/D) is payable for URMBT members when inclusionary guidelines are met, effective June 1, 2011. |
| S3860-S3862 | Basic Benefit Policy
The safety and effectiveness of genetic testing for cardiac channelopathies, including long QT syndrome (LQTS), Brugada syndrome and other variants, have been established. It may be considered a useful diagnostic option when indicated for patients meeting specified guidelines, which have been updated, effective Nov. 1, 2011. |