Medical Policies Available Online

Blue Cross Blue Shield of North Dakota (BCBSND) regularly develops and revises medical policies in response to rapidly changing medical technology. Our commitment is to update the provider community as medical policies are adopted and/or revised. Benefit determinations are made based on the medical policy in effect at the time of service.

The following medical policies were reviewed by the Internal Medical Policy Committee on Jan. 22, 2020. Please see policy for changes. Medical policies are available at

The following policies are new or have been revised (See additional article regarding Pharmacy Updates):

  • Artificial Hearts and Ventricular Assist Devices
  • Heart/Lung Transplantation
  • Transcatheter Pulmonary Valve Implantation
  • Seat Lift Mechanisms
  • Confocal Laser Endomicroscopy
  • Hydrogel Spacer Use During Radiotherapy for Prostate Cancer
  • Deep Brain Stimulation
  • Bulking Agents for the Treatment of Urinary Stress Incontinence and Vesicoureteral Reflux
  • Pancreas/Kidney Transplantation
  • Repair, Maintenance DME
  • Fetal Surgery for Prenatal Diagnosed Malformations
  • Cardiac Applications of Positron Emission Tomography Scanning
  • Miscellaneous Applications of PET
  • Ilizarov Bone Lengthening Procedure
  • Feeding Disorder
  • Diagnosis and Treatment of Obstructive Sleep apnea in Adults
  • External Counterpulsation
  • Aqueous Shunts and Stents for Glaucoma
  • Nerve Conduction Studies and Electromyography
  • Chemodenervation-botulinum Toxin
  • Allergy Immunotherapy
  • Occupational Therapy
  • Physical Medicine
  • Surgical Treatment of Varicose Veins
  • Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver tumors
  • Electrical Nerve Stimulation
  • Hyperbaric Oxygen Therapy
  • Corneal Collagen Cross-Linking
  • Knee Orthosis
  • Assisted Reproductive Technology
  • Dermatologic Applications of Photodynamic Therapy
  • Partial and Total Hip Resurfacing
  • Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease
  • Selective Internal Radiation Therapy Radioembolization