Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

June 2013

Expanded Coverage of Stereotactic Radiosurgery 


Effective for claims with dates of service beginning July 1, 2013, Harvard Pilgrim is expanding coverage of stereotactic radiosurgery to include spinal and lung tumors. Under the new policy, stereotactic body radiation therapy will be covered when it is considered medically necessary in the treatment of:

  • Primary or recurrent tumors within the spine, or metastases to the spine from other primary sites that are both not amenable to surgery and not amenable to conventional radiation therapy
  • Early stage (T1 or T2) non small-cell lung cancer (NSCLC) in an individual who is not a surgical candidate or refuses surgery
  • Symptomatic pulmonary metastasis in an individual with good performance status and controlled systemic disease

These changes were made based on a review of current medical literature. For complete information, including a listing of newly added codes, please see the updated Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy Clinical Medical Policy.

Email this article to a colleague   

Receive Network Matters by e-mail

Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

SaveOnSM Program Now Available for Maine Employers

GIC Product Updates Effective July 1

Are You Ready for ICD-10 Transition?

CLINICIAN CORNER

Expanded Coverage of Stereotactic Radiosurgery

Coverage for Amylase Testing

Compounded Prescriptions Benefit Change

Treating Insomnia in the Primary Care Setting

OFFICE ASSISTANT

Updated Pricing for Molecular Pathology Codes

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Joann Peck,
Manager, Network Planning and Administration

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator