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Medical Policy Revision: Intravenous Anesthetics for the Management of Chronic Pain and Depression

Effective June 4, 2020, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy, Intravenous Anesthetics for the Management of Chronic Pain and Depression.

Access our Medical Policy Manual to review this medical policy content.¹

Claims submitted for services provided on and after June 4, 2020 to patients enrolled in Horizon BCBSNJ commercial, Administrative Services Only (ASO), and Horizon BCBSNJ Medicare Advantage plans will be processed as follows.

  • Based on the submitted diagnosis code(s), the services represented by HCPCS code J2001 may be denied as experimental/investigational non-covered services.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after June 4, 2020.

¹The content of Horizon BCBSNJ medical policies that apply to Horizon BCBSNJ MA plans may include reference to pertinent National Coverage Determinations (NCDs) and/or Local Coverage Determinations (LCDs). We follow Centers for Medicare & Medicaid Services (CMS) guidelines, NCDs and/or LCDs in our processing of claims for services provided to our MA members. For those services where no LCD or NCD exists, claims for MA members will be processed based on our policy guidelines.

Published on: March 3, 2020, 05:07 a.m. ET
Last updated on: March 11, 2022, 04:49 a.m. ET