IVIG - BMC HealthNet Plan
IVIG - BMC HealthNet Plan
IVIG - BMC HealthNet Plan
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Barre syndrome: report of the Quality Standards Subcommittee of the American<br />
Academy of Neurology. Neurology. 2003;61:736-740.<br />
71. Van Doorn P, Kuitwaard K, Walgaard C, et al. <strong>IVIG</strong> treatment and prognosis in<br />
Guillain-Barre Syndrome. J Clin Immunol. 2010;30 Suppl1:s74-78.<br />
72. Howard JF. Myasthenia gravis a manual for the health care provider. Myasthenia<br />
Gravis Foundation of America, Inc.<br />
73. Jahnke L, Applebaum S, Sherman LA, et al. An evaluation of intravenous<br />
immunoglobulin in the treatment of human immunodeficiency virus-associated<br />
thrombocytopenia. Transfusion. 1994;34:759-764.<br />
74. Scaradavou A, Cunningham-Rundles S, Ho JL, et al. Superior effect of intravenous<br />
anti-D compared with IV gammaglobulin in the treatment of HIV-thrombocytopenia:<br />
results of a small, randomized prospective comparison. Am. J. Hematol. 2007;82:335-<br />
341.<br />
75. WinRho® SDF [package insert]. Westlake Village, CA: Baxter Healthcare<br />
Corporation (manufactured by Cangene Corporation, Winnipeg, Canada); April 2006.<br />
76. Comi G, Roveri L, Swan A, et al; Inflammatory Neuropathy Cause and Treatment<br />
Group. A randomised controlled trial of intravenous immunoglobulin in IgM<br />
paraprotein associated demyelinating neuropathy. J Neurol. 2002;249:1370-1377.<br />
77. Joint Task Force of the EFNS and the PNS. European Federation of Neurological<br />
Societies/Peripheral Nerve Society Guideline on management of paraproteinemic<br />
demyelinating neuropathies. Report of a Joint Task Force of the European Federation<br />
of Neurological Societies and the Peripheral Nerve Society—first revision. J Peripher<br />
Nerv Syst. 2010;15(3):185-95.<br />
78. Maddison P, Newsom-Davis J. Treatment for Lambert-Eaton myasthenic syndrome.<br />
Cochrane Database Syst Rev. 2003;(2):CD003279.<br />
79. Sederholm BH. Treatment of chronic immune-mediated neuropathies: chronic<br />
inflammatory demyelinating polyradiculoneuropathy, multifocal motor neuropathy,<br />
and the Lewis-Sumner Syndrome. Semin Neurol. 2010;30(4):443-456.<br />
80. Hughes RA; Joint Task Force of the EFNS and the PNS. European Federation of<br />
Neurological Societies/Peripheral Nerve Society Guideline on management of<br />
multifocal motor neuropathy. Report of a joint task force of the European Federation<br />
of Neurological Societies and the Peripheral Nerve Society. J Peripher Nerv Syst.<br />
2006;11:1-8.<br />
81. The NCCN Prevention Multiply Myeloma Clinical Practice Guidelines in Oncology<br />
(Version 1.2011). © 2010 National Comprehensive Cancer Network, Inc. Available<br />
at: http://www.nccn.org. Accessed December 28, 2010.<br />
82. Drugs and lactation database of the National Library of Medicine’s TOXNET system<br />
(Globulin, Immune). Last revised: December 7, 2010. Available at:<br />
http://toxnet.nlm.nih.gov. Accessed on January 20, 2011.<br />
83. Hellwig K, Beste C, Schimrigk S and Chan A. Immunomodulation and postpartum<br />
relapses in patients with multiple sclerosis. Ther Adv Neurol Disord. 2009;2(1):7-11.<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 />
38 of 45