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Medical Policies
This section contains Medical Policies approved by Blue Cross and Blue Shield of
Kansas City (“BCBSKC”). Medical policy determines if, and under what
circumstances, medical services may be eligible for coverage. These Medical Policies
describe when medical services are considered medically necessary, not medically
necessary or investigational.
State and Federal mandates and health plan contract language, including specific
provisions/exclusions, take precedence over Medical Policy and must be considered
first in determining eligibility for coverage. Although a service may be medically
necessary, it may be excluded under a member’s benefit plan.
The Medical Policies are regularly reviewed and may be updated or modified and,
therefore, are subject to change. Benefit determinations are made in the context
of Medical Policies existing at the time of the benefit determination and are not
subject to later revision as the result of a change in medical policy.
The Medical Policies contained herein are for informational purposes. The Medical
Policies do not constitute medical advice or medical care. Treating health care
providers are independent contractors and are neither employees nor agents of BCBSKC
and are solely responsible for diagnosis, treatment and medical advice.
No part of this publication may be reproduced, stored in a retrieval system or transmitted,
in any form or by any means, electronic, photocopying, or otherwise, without permission
from BCBSKC.
In addition, Current Procedural Terminology (CPT ®) codes and descriptions are
the property of the American Medical Association with all rights reserved.
© 2014 Blue Cross and Blue Shield of Kansas City, an independent licensee of
the Blue Cross and Blue Shield Association.
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An independent licensee of the Blue Cross and Blue Shield Association
©2013 Blue Cross and Blue Shield of Kansas City. All rights reserved.