Policies & Guidelines

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Negative Pressure Wound Therapy in the Outpatient Setting

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print Print Back Back Minimally Invasive Approaches to Vertebral Fractures Policy Number: MP-004 Latest Review...

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print Print Back Back Thoracic-Lumbo-Sacral Orthosis with Pneumatics Policy Number: MP-006 Latest Review Date:...

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Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses

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print Print Back Back Sympathetic Therapy and Bioelectrical Nerve Block or Electroanalgesic Nerve Block for...

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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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print Print Back Back Cochlear Implants Policy Number: MP-018 Latest Review Date: March 2024 Category:...

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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 Back Back Occlusion of Uterine Arteries Using Transcatheter Embolization or Laparoscopic Occlusion...

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

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print Print Extracorporeal Photopheresis Policy Number: MP-028 Latest Review Date: October 2023 Category: Therapy...

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print Print Back Back Total Artificial Hearts and Implantable Ventricular Assist Devices Policy Number: MP-033...

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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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