View Medical Policies

or
Showing 1– 20 of 290 Results
Title Last Updated Category
Wireless Capsule Endoscopy Imaging and Wireless Motility Capsule for Examination of the Gastrointestinal (GI) Tract Open a PDF 6.01.27 2021-09-16 Digestive System (Gastroenterology)
Whole Exome and Whole Genome Sequencing for the Diagnosis of Genetic Disorders Open a PDF 2.02.46 2021-11-22 Genetic Disease (Inherited Disease)
Wheelchairs and Power Operated Vehicles Open a PDF 1.01.16 2021-07-20 Durable Medical Equipment & Supplies
Vitrectomy Chair/ Face-Down Positioning System Open a PDF 1.01.52 2021-05-21 Durable Medical Equipment & Supplies
Vision Therapy Open a PDF 9.01.04 2021-07-20 Eyes (Ophthalmology)
Ventricular Assist Devices Open a PDF 7.01.07 2021-08-10 Heart & Blood Vessels (Cardiovascular)
Varicosities, Treatment Alternatives to Vein Stripping and Ligation Open a PDF 7.01.47 2021-09-16 Cosmetic / Reconstructive Surgery
Vagus Nerve Stimulation and Vagus Nerve Blocking Therapy Open a PDF 7.01.05 2021-08-10 Nervous Systems (Neurology)
Urine Drug Testing, immunoassay, presumptive testing, confirmatory testing Open a PDF 2.02.50 2020-12-16 Lab Tests (pathology)
Urinary Tumor Markers for Bladder Cancer Open a PDF 2.02.12 2021-08-10 Lab Tests (pathology)
Tumor-Treatment Field Therapy for Glioblastoma: Electrical Field Therapy, NovoTTF-100™ PDF Open a PDF 6.01.45 2021-04-19 Cancer Treatment (Oncology)
Treatment of Tinnitus: Habituation Therapy, Jastreboff Method, Masking, Retraining Therapy Open a PDF 8.01.07 2021-03-16 Ear, Nose & Throat (Otorhinolaryngology)
Treatment of Hirsutism/ Hypertrichosis (Hair Removal) (e.g., Electrolysis, Epilation) Open a PDF 2.01.38 2021-01-07 Cosmetic / Reconstructive Surgery
Treatment of Gambling Disorder and Other Repetitive Behaviors Open a PDF 3.01.19 2021-03-22 Behavioral Health (Psychiatry/Psychology)
Transurethral Microwave Thermotherapy (TUMT) of the Prostate (e.g., Prostatron, Targis, Urowave System, CoreTherm, Prolieve, TMx-2000) Open a PDF 7.01.28 2021-01-19 Urinary System (Genitourinary)
Transpupillary Thermotherapy Open a PDF 9.01.05 2021-09-16 Eyes (Ophthalmology)
Transendoscopic Therapies for Gastroesophageal Reflux Disease (GERD): ELF, EndoCinch, Endoluminal Funcoplication, Endoluminal Gastroplication, Enteryx, EsophyX, Gatekeeper, Plexiglas Microspheres, NDO Plicator System, Radiofrequency Esophageal Treatment, Stretta Open a PDF 7.01.45 2021-04-19 Digestive System (Gastroenterology)
Transcranial Magnetic Stimulation Open a PDF 3.01.09 2021-07-13 Behavioral Health (Psychiatry/Psychology)
Transcranial Doppler Ultrasound Open a PDF 6.01.18 2021-01-19 Radiology (x-rays) & Imaging
Transcatheter Mitral Valve Repair Open a PDF 7.01.108 2021-10-12 Heart & Blood Vessels (Cardiovascular)
Showing 1– 20 of 290 Results
IE Browser Modal