Medical Policies
Policies that are included in the FEP Medical Policy Manual.
The policies contained in the FEP Medical Policy Manual are developed to assist in administering contractual benefits and do not constitute medical advice. They are not intended to replace or substitute for the independent medical judgment of a practitioner or other health care professional in the treatment of an individual member. The Blue Cross and Blue Shield Association does not intend by the FEP Medical Policy Manual, or by any particular medical policy, to recommend, advocate, encourage or discourage any particular medical technologies. Medical decisions relative to medical technologies are to be made strictly by members/patients in consultation with their health care providers. The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that the Blue Cross and Blue Shield Service Benefit Plan covers (or pays for) this service or supply for a particular member.
- 8.01.61 Focal Treatments for Prostate Cancer
- 8.01.62 Electronic Brachytherapy for Non-Melanoma Skin Cancer
- 8.01.64 Home Non-Invasive Positive Airway Pressure Devices for the Treatment of Respiratory Insufficiency and Failure
- 8.01.67 Medical Management of Obstructive Sleep Apnea Syndrome
- 8.02.04 Lipid Apheresis
- 8.03.01 Functional Neuromuscular Electrical Stimulation
- 8.03.05 Outpatient Pulmonary Rehabilitation
- 8.03.08 Cardiac Rehabilitation in the Outpatient Setting
- 8.03.09 Vertebral Axial Decompression
- 8.03.10 Cognitive Rehabilitation
- 8.03.11 Endobronchial Brachytherapy
- 8.03.13 Sensory Integration Therapy and Auditory Integration Therapy
- 9.03.01 Keratoprosthesis
- 9.03.05 Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy
- 9.03.06 Ophthalmologic Techniques That Evaluate the Posterior Segment for Glaucoma
- 9.03.08 Photodynamic Therapy for Choroidal Neovascularization
- 9.03.13 Retinal Telescreening for Diabetic Retinopathy
- 9.03.15 Retinal Prosthesis
- 9.03.18 Optical Coherence Tomography of the Anterior Eye Segment
- 9.03.20 Intraocular Radiotherapy for Age-Related Macular Degeneration
- 9.03.21 Aqueous Shunts and Stents for Glaucoma
- 9.03.22 Endothelial Keratoplasty
- 9.03.23 Intravitreal Corticosteroid Implants
- 9.03.26 Viscocanalostomy and Canaloplasty
- 9.03.27 Intravitreal Angiogenesis Inhibitors for Retinal Vascular Conditions
- 9.03.28 Corneal Collagen Cross-Linking
- 9.03.29 Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome