Policies & Guidelines

Negative Pressure Wound Therapy in the Outpatient Setting

print Print Minimally Invasive Approaches to Vertebral Fractures Policy Number: MP-004 Latest Review Date: April 2024 Category: Musculoskeletal ...

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Thoracic-Lumbo-Sacral Orthosis with Pneumatics

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Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses

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print Print Sympathetic Therapy and Bioelectrical Nerve Block or Electroanalgesic Nerve Block for the Treatment of Pain Policy Number: MP-015 Latest Review Date: July 2024 ...

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Ultrasounds in Pregnancy

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print Print Back Back Wireless Capsule Endoscopy (Given® Video Capsule) Policy Number: MP-017 Latest Review...

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Cochlear Implants

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print Print Back Back COPES Scoliosis Treatment Recovery System Policy Number: MP-019 Latest Review Date:...

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print Print Back Back Computerized Pulse Waveform Analysis Policy Number: MP-020 Latest Review Date:...

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Cranial Electrotherapy Stimulation (CES) and Auricular Electrostimulation

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print Print Occlusion of Uterine Arteries Using Transcatheter Embolization or Laparoscopic Occlusion to Treat Uterine Fibroids Policy Number: MP-022 Latest Review Date:...

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print Print Back Back Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease-GERD Policy...

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print Print Back Back Extracorporeal Photopheresis Policy Number: MP-028 Latest Review Date: October 2024 ...

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print Print Total Artificial Hearts and Implantable Ventricular Assist Devices Policy Number: MP-033 Latest Review Date: September 2024 Category: Transplant ...

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print Print Back Back Monochromatic Infrared Energy System Policy Number: MP-037 Latest Review Date: August...

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Continuous Glucose Monitoring

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print Print Percutaneous Intradiscal Electrothermal Annuloplasty (IDET), Radiofrequency Annuloplasty, Biacuplasty, and Intraosseous Basivertebral Nerve Ablation Policy...

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print Print Back Back Management of Varicose Veins Policy Number: MP-045 Latest Review Date: May 2024 ...

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Insulin Infusion Pump

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