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

May 2014

Expanded Coverage: Capsule Endoscopy of the Small Bowel 


For dates of service beginning July 1, 2014, Harvard Pilgrim is expanding the covered indications for medically necessary capsule endoscopy of the small bowel to include:

  • Suspected or known small bowel tumors
  • Evaluation of celiac disease for members with a positive serology and negative biopsy
  • Re-evaluation of members with celiac disease who remain symptomatic despite treatment

For more information, including coding details, please refer to the Gastrointestinal Payment Policy and the Capsule Endoscopy of the Small Bowel Medical Policy.

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PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator