Policy # Policy Title Print View
MP-004 Percutaneous Vertebroplasty and Sacroplasty
MP-017 Wireless Capsule Endoscopy (Given® Video Capsule)
MP-022 Occlusion of Uterine Arteries Using Transcatheter Embolization or Laparoscopic Occlusion to Treat Uterine Fibroids
MP-069 Ultrasound of the Spinal Canal
MP-144 Ultrasonographic Evaluation of Skin Lesions
MP-147 Magnetic Resonance Spectroscopy
MP-177 Magnetic Resonance Neurography
MP-191 Bone Mineral Density Testing
MP-194 Whole Body Dual X-Ray Absorptiometry (DEXA) to Determine Body Composition
MP-202 Vertebral Fracture Assessment with Dual X-Ray Absorptiometry (DEXA)
MP-204 Computed Tomography Perfusion Imaging of the Brain
MP-211 Myocardial Perfusion Imaging
MP-249 Radioimmunoscintigraphy (Monoclonal Antibody Imaging) with Indium-111 Capromab Pendetide for Prostate Cancer
MP-252 Digital Breast Tomosynthesis
MP-308 Three-D (3-D) Reconstruction for Computed Tomography, Magnetic Resonance Imaging, Ultrasound, or Other Tomographic Modalities
MP-338 Magnetoencephalography/Magnetic Source Imaging
MP-436 Thermography
MP-452 Scintimammography and Gamma Imaging of the Breast and Axilla
MP-462 Positron Emission Mammography (PEM)
MP-494 Chromoendoscopy as an Adjunct to Colonoscopy
MP-504 Dopamine Transporter Imaging with Single Photon Emission Computed Tomography (DAT-SPECT)
MP-511 Dynamic Spinal Visualization and Vertebral Motion Analysis
MP-530 Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure
MP-635 Noninvasive Fractional Flow Reserve by Coronary Computed Tomographic Angiography
MP-646 Computed Tomography to Detect Coronary Artery Calcification
MP-723 Screening Magnetic Resonance Imaging (MRI) for Evaluation of Breast Implant Integrity in Asymptomatic Individuals
MP-726 Myocardial Strain Imaging