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IVIG - BMC HealthNet Plan

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17. Buchanan GR, de Alarcon PA, Feig SA, et al. Acute idiopathic thrombocytopenic<br />

purpura – management in childhood. Blood. 1997;89:1464-1465.<br />

18. Newburger JW, Takahashi M, Gerber MA, et al; Committee on Rheumatic Fever,<br />

Endocarditis and Kawasaki Disease; Council on Cardiovascular Disease in the<br />

Young; American Heart Association; American Academy of Pediatrics. Diagnosis,<br />

treatment, and long-term management of Kawasaki disease: a statement for health<br />

professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki<br />

Disease, Council on Cardiovascular Disease in the Young, American Heart<br />

Association. Circulation. 2004;110:2747-2771.<br />

19. Hughes RA, Donofrio P, Bril V, et al; ICE Study Group. Intravenous immune<br />

globulin (10% caprylate-chromatography purified) for the treatment of chronic<br />

inflammatory demyelinating polyradiculoneuropathy (ICE study): a randomised<br />

placebo-controlled trial. Lancet Neurol. 2008;7:136-144.<br />

20. Feasby T, Banwell B, Benstead T, et al. Guidelines on the use of intravenous immune<br />

globulin for neurologic conditions. Transfus Med Rev. 2007;21(2 Suppl 1):S57-107.<br />

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Allergy Clin Immunol. 2006;117(4 Suppl):S525-553.<br />

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This guideline provides information on <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> claims adjudication processing guidelines. The use of this<br />

guideline is not a guarantee of payment and will not determine how a specific claim(s) will be paid. Reimbursement is<br />

based on member benefits and eligibility, medical necessity review, where applicable, coordination of benefits, adherence<br />

to <strong>Plan</strong> policies, clinical coding criteria, and the <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> agreement with the rendering or dispensing provider.<br />

Reimbursement policies may be amended at <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong>’s discretion. <strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> will always use the<br />

most recent CPT and HCPCS coding guidelines.<br />

<strong>BMC</strong> <strong>HealthNet</strong> <strong>Plan</strong> – <strong>IVIG</strong><br />

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