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Final Policies: O - S

Policy # Policy Title View
BA-314 Occipital Neuralgia and Headache Treatment
BA-022 Occlusion of Uterine Arteries Using Transcatheter Embolization or Laparoscopic Occlusion to Treat Uterine Fibroids
BA-535 Ocriplasmin for Symptomatic Vitreomacular Adhesion
BA-175 Ocular Photoscreening in the Primary Care Physician’s Office as a Screening Tool to Detect Amblyogenic Factors
BA-337 Oncologic Applications of Photodynamic Therapy, Including Barrett’s Esophagus
BA-631 Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures)
BA-465 Ophthalmologic Techniques That Evaluate the Posterior Segment for Glaucoma
BA-091 Opioid Antagonists under Heavy Sedation or General Anesthesia as a Technique of Opioid Detoxification
BA-492 Optical Coherence Tomography (OCT) for Imaging of Coronary Arteries
BA-113 Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy
BA-332 Oral Lesion Identification System
BA-430 Orthopedic Applications of Stem Cell Therapy (Including Allograft and Bone Substitute Used with Autologous Bone Marrow)
BA-248 Osteochondral Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
BA-116 Otoplasty
BA-172 Ovarian and Internal Iliac Vein Embolization as Treatment of Pelvic Congestion Syndrome
BA-362 Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain
BA-578 Patient-Controlled End Range of Motion Stretching Devices
BA-716 Patient-Specific Instrumentation for Joint Arthroplasty
BA-004 Percutaneous Vertebroplasty and Sacroplasty
BA-526 Peripheral Subcutaneous Field Stimulation
BA-454 Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux
BA-537 Peroral Endoscopic Myotomy (POEM) for Treatment of Esophageal Achalasia and Refractory Gastroparesis
BA-502 Pertuzumab (PERJETA™)
BA-301 Phototherapy for the Treatment of Skin Disorders
BA-399 Plugs for Anal Fistula Repair
BA-575 Powered Exoskeleton for Ambulation in Patients with Lower Limb Disabilities
BA-173 Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia
BA-259 Prophylactic Oophorectomy
BA-630 Proteogenomic Testing for Patients with Cancer
BA-187 Pulsed Dye Laser Treatment of Recalcitrant Verrucae
BA-572 Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit-Hyperactivity Disorder
BA-119 Radiofrequency Ablation of Solid Tumors Excluding Liver Tumors
BA-503 Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Resistant or Uncontrolled Hypertension
BA-249 Radioimmunoscintigraphy (Monoclonal Antibody Imaging) with Indium-111 Capromab Pendetide for Prostate Cancer
BA-748 Remote Electrical Neuromodulation for Migraines
BA-574 Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
BA-053 Revision of Gastric Restrictive Procedure
BA-174 Risk-Reducing Mastectomy
BA-452 Scintimammography and Gamma Imaging of the Breast and Axilla
BA-723 Screening Magnetic Resonance Imaging (MRI) for Evaluation of Breast Implant Integrity in Asymptomatic Individuals
BA-169 Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
BA-333 Sensory Integration Therapy and Auditory Integration Therapy
BA-139 Sensory Stimulation for Coma Patients
BA-109 Septoplasty, Rhinoplasty Repair
BA-161 Serologic Diagnosis of Celiac Disease
BA-285 Serum Antibodies for the Diagnosis of Inflammatory Bowel Disease
BA-445 Serum Biomarker Human Epididymis Protein 4 (HE4)
BA-563 Serum Biomarker Tests for Multiple Sclerosis
BA-448 Serum Holotranscobalamin as a Marker of Vitamin B12 (Cobalamin) Status
BA-366 Shoulder Resurfacing
BA-318 Signal-Averaged Electrocardiography
BA-708 SINUVA (mometasone furoate)
BA-095 Speculoscopy
BA-183 Stem-cell Therapy for Peripheral Arterial Disease
BA-279 Stereotactic Radiosurgery
BA-346 Stretching and Splinting Devices for the Treatment of Joint Stiffness and Contractures
BA-357 Subtalar Arthroereisis
BA-312 Suprachoroidal Delivery of Pharmacological Agents
BA-560 Surgery for Groin Pain in Athletes
BA-507 Surgical Deactivation of Headache Trigger Sites
BA-210 Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dysmenorrhea
BA-421 Surgical Treatment of Femoroacetabular Impingement
BA-621 Surgical Treatment of Snoring and Obstructive Sleep Apnea
BA-719 Surgical Treatments for Lymphedema
BA-257 Surgical Ventricular Restoration
BA-015 Sympathetic Therapy and Bioelectrical Nerve Block or Electroanalgesic Nerve Block for the Treatment of Pain
BA-428 Systems Pathology in Prostate Cancer