View Medical Policies

or
Showing 281– 295 of 295 Results
Title Last Updated Category
Artificial Cervical Intervertebral Discs (e.g., Bryan, Mobi-C, PCM [Porous Coated Motion] Cervical Disc®, Prestige®, ProDisc®, Secure-C) Open a PDF 7.01.80 2020-02-26 Bone & Joints (Orthopedic)
Aqueous Drainage Devices (Stents and Shunts): Ahmed, Aquaflow, Baerveldt, CyPass, Ex-PRESS, Glaucoma Filtration Device, IOP, iStent, Krupin, Molteno, XEN Open a PDF 9.01.18 2020-05-08 Eyes (Ophthalmology)
Applied Behavioral Analysis for Treatment of Autism Spectrum Disorders (ABA), Pervasive Developmental Disorders (PDD) Open a PDF 3.01.11 2019-11-25 Behavioral Health (Psychology)
Anticoagulation Testing Open a PDF 2.02.40 2019-08-22 Lab Tests (pathology)
Angioplasty of Intracranial Atherosclerotic Stenoses with or without Stenting (e.g., Percutaneous Transluminal Angioplasty, Neurolink® System, Wingspan™ Stent) Open a PDF 7.01.70 2020-03-18 Nervous Systems (Neurology)
Ambulatory Event Monitor (AEM): Ambulatory Electrocardiographic (AECG) Devices, Cardiac Event Detection (CED), CardioNet, Mobile Cardiac Outpatient Telemetry (MCOT), Ziopatch Open a PDF 2.01.03 2020-03-18 Heart & Blood Vessels (Cardiovascular)
Ambulance: Land/Ground Open a PDF 10.01.07 2020-05-13 Miscellaneous
Ambulance: Air Open a PDF 11.01.06 2020-05-13 Miscellaneous
Alopecia (e.g., Areata, Androgenic, Scarring), Baldness, Hair Loss Open a PDF 2.01.36 2020-02-21 Cosmetic / Reconstructive Surgery
Allogeneic Hematopoietic Stem Cell Transplantation Open a PDF 7.02.02 2020-03-18 Transplants
Allergy Testing (Allergen Specific IgE, Allergen Specific IgG, Challenge, Cytotoxic, Dipstick, Disk, Intracutaneous, Intradermal, Leukocyte Histamine Release, Mucous Membrane, Paddle, Patch, Percutaneous, Phadiatop, Prick, Provocation-Neutralization, RAST, Rinkel, Scratch, Serial Endpoint Titration, Skin End Point Titration, Skin) Open a PDF 2.01.10 2020-02-26 Ear, Nose & Throat (Otorhinolaryngology)
Allergen Immunotherapy: Injections, Sublingual Immunotherapy Open a PDF 2.01.11 2019-10-15 Ear, Nose & Throat (Otorhinolaryngology)
Airway Clearance Devices: Oscillatory Devices - ABI Vest, Acapella, Flutter Valve, Lung Flute®, ThAIRapy Vest; Mechanical Percussors and Assisted Cough Devices - Cofflator, Cough-Alator, In-Exsufflator Open a PDF 1.01.15 2020-01-22 Lungs (Respiratory)
Acupuncture, Auricular Electrostimulation (e.g., E-Pulse, P-Stim™) Open a PDF 8.01.20 2020-05-13 Alternative Medicine
Abdominoplasty and Panniculectomy (e.g., Belt Lipectomy, Lipectomy, Tummy Tuck) Open a PDF 7.01.53 2020-05-13 Cosmetic / Reconstructive Surgery
Showing 281– 295 of 295 Results