IVIG - BMC HealthNet Plan
IVIG - BMC HealthNet Plan
IVIG - BMC HealthNet Plan
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43. Gamimune N, 10% [package insert]. Elkhart, IN: Bayer Corporation; October 2008.<br />
44. Mouthon L, Lortholary O. Intravenous immunoglobulins in infectious diseases:<br />
where do we stand Clin Microbiol Infect. 2003;9:333-338.<br />
45. Centers for Disease Control and Prevention. Guidelines for prevention and treatment<br />
of opportunistic infections in HIV-infected adults and adolescents. Recommendations<br />
from CDC, the National Institutes of Health, and the HIV Medicine Association of<br />
the Infectious Diseases Society of America. MMWR. 2009;58(No. RR-4):1-216.<br />
46. American Academy of Pediatrics. Human Immunodeficiency Virus Infection. In:<br />
Pickering LK, ed. Red Book Report of the Committee on Infectious Diseases. 287th<br />
ed. Elk Grove Village, IL: American Academy of Pediatrics; 2009:380-400.<br />
47. Mofenson LM, Brady MT, Danner S, et al; CDC; National Institutes of Health;<br />
Infectious Diseases Society of America. Treating opportunistic infections among<br />
HIV-exposed and infected children: recommendations from CDC, the National<br />
Institutes of Health, The HIV Medicine Association of the Infectious Diseases<br />
Society of America, the Pediatric Infectious Diseases Society of America and the<br />
American Academy of Pediatrics. MMWR Recomm Rep. 2009;58(RR11);1-166.<br />
Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5811a1.htm. Accessed<br />
12/8/09 01/11/11.<br />
48. American Academy of Pediatrics. Active and Passive Immunization. In: Pickering<br />
LK, ed. Red Book Report of the Committee on Infectious Diseases. 28th ed. Elk<br />
Grove Village, IL: American Academy of Pediatrics; 2009;1(58):58-61.<br />
49. [No authors listed]. Antiretroviral therapy and medical management of pediatric HIV<br />
infection and 1997 USPHS/IDSA report on the prevention of opportunistic infections<br />
in persons infected with human immunodeficiency virus. Pediatrics. 1998;102(4 Pt<br />
2):999-1085.<br />
50. Spector SA, Gelber RD, McGrath N, et al. A controlled trial of intravenous immune<br />
globulin for the prevention of serious bacterial infections in children receiving<br />
zidovudine for advanced human immunodeficiency virus infection. Pediatric AIDS<br />
Clinical Trials Group. N Engl J Med. 1994;331:1181-1187.<br />
51. Efthimiou P, Paik P, Bielory L. Diagnosis and management of adult onset Still's<br />
disease. Ann Rheum Dis. 2006;65:564-572.<br />
52. Enk A and the European Dermatology Forum Guideline Subcommittee. Guidelines<br />
on the use of high-dose intravenous immunoglobulin in dermatology. Eur J<br />
Dermatol. 2009;19:90-98.<br />
53. Ahmed AR, Dahl MV. Consensus statement on the use of intravenous<br />
immunoglobulin therapy in the treatment of autoimmune mucocutaneous blistering<br />
diseases. Arch Dermatol. 2003;139:1051-1059.<br />
54. Ruetter A, Luger TA. Efficacy and safety of intravenous immunoglobulin for<br />
immune-mediated skin disease. Current view. Am J Clin Dermatol. 2004;5:153-160.<br />
55. Ahmed AR. Use of intravenous immunoglobulin therapy in autoimmune blistering<br />
diseases. Int Immunopharmacol. 2006;6:557-578.<br />
56. Amagai M, Ikeda S, Shimizu H, et al. A randomized double-blind trial of intravenous<br />
immunoglobulin for pemphigus. J Am Acad Dermatol. 2009;60(4);595-603.<br />
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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