Medical Policies

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Showing 301– 342 of 342 Results
Title Last Updated Category
Cardiac Rehabilitation Open a PDF 8.01.14 2025-10-22 Therapy & Rehabilitation
Cardiac Event Monitors Open a PDF 2.01.03 2026-07-21 Heart & Blood Vessels (Cardiovascular)
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA) (Effective 2026-10-15) Open a PDF 6.01.34 2026-07-15 Radiology (x-rays) & Imaging
Cardiac Computed Tomography (CCT)/Coronary Computed Tomographic Angiography (CCTA) Open a PDF 6.01.34 2026-07-15 Radiology (x-rays) & Imaging
Capsule Endoscopy Open a PDF 6.01.27 2025-10-22 Digestive System (Gastroenterology)
Bulking Agents for Treatment of Urinary or Fecal Incontinence Open a PDF 7.01.22 2026-03-24 Urinary System (Genitourinary)
Breast Reconstruction Surgery and Prophylactic Breast Cancer Risk-Reducing Mastectomy Open a PDF 10.01.01 2026-08-25 Cosmetic / Reconstructive Surgery
Brachytherapy or Radioactive Seed Implantation for Prostate Cancer Open a PDF 6.01.16 2025-12-31 Radiation Treatment
Brachytherapy After Breast-Conserving Surgery Open a PDF 6.01.30 2025-11-25 Radiation Treatment
Bone Growth Stimulators Open a PDF 1.01.53 2026-04-20 Bone & Joints (Orthopedic)
Bone Densitometry/Bone Density Studies Open a PDF 6.01.05 2026-08-25 Radiology (x-rays) & Imaging
Blepharoplasty and Brow Ptosis Repair Open a PDF 7.01.55 2026-03-24 Cosmetic / Reconstructive Surgery
Bioimpedance Devices for Detection and Management of Breast Cancer Related Lymphedema Open a PDF 2.01.52 2026-01-27 Miscellaneous
Bioengineered Tissue Products for Wound Treatment and Surgical Interventions Open a PDF 7.01.35 2026-08-25 Skin (Dermatology)
Bariatric and Metabolic Surgery Open a PDF 7.01.29 2026-06-16 Digestive System (Gastroenterology)
Balloon Sinus Ostial Dilation for Treatment of Chronic Rhinosinusitis (i.e., Balloon Sinuplasty) Open a PDF 7.01.85 2026-08-25 Ear, Nose & Throat (Otorhinolaryngology)
Balloon Dilation of the Eustachian Tube Open a PDF 7.01.101 2026-07-21 Ear, Nose & Throat (Otorhinolaryngology)
Autologous Hematopoietic Stem Cell Transplantation (Auto-HSCT) Open a PDF 7.02.03 2026-03-13 Transplants
Autologous Chondrocyte Implantation (ACI) (Effective 2026-10-15) Open a PDF 7.01.38 2026-07-15 Bone & Joints (Orthopedic)
Autologous Chondrocyte Implantation (ACI) Open a PDF 7.01.38 2026-07-15 Bone & Joints (Orthopedic)
Augmentative and Alternative Communication Systems (e.g., Speech-generating Devices) Open a PDF 1.01.03 2026-08-25 Durable Medical Equipment & Supplies
Assisted Reproductive Technologies Open a PDF 4.01.05 2026-01-15 Women's Health (Obstetrics & Gynecology)
Artificial Lumbar Intervertebral Disc (Effective 2026-10-15) Open a PDF 7.01.63 2026-07-15 Bone & Joints (Orthopedic)
Artificial Lumbar Intervertebral Disc Open a PDF 7.01.63 2026-07-15 Bone & Joints (Orthopedic)
Artificial Cervical Intervertebral Disc (Effective 2026-10-15) Open a PDF 7.01.80 2026-07-15 Bone & Joints (Orthopedic)
Artificial Cervical Intervertebral Disc Open a PDF 7.01.80 2026-07-15 Bone & Joints (Orthopedic)
Aqueous Drainage Devices (Stents and Shunts) for Glaucoma Open a PDF 9.01.18 2026-01-27 Eyes (Ophthalmology)
Applied Behavior Analysis Open a PDF 3.01.11 2026-06-25 Behavioral Health (Psychiatry/Psychology)
Angioplasty and Stenting of Extracranial, Intracranial and Vertebral Arteries Open a PDF 7.01.110 2025-12-23 Nervous Systems (Neurology)
Amniotic Membrane Grafting/Transplantation (AMG/AMT) for Ophthalmologic Conditions (Effective 2026-12-15) Open a PDF 9.01.20 2026-09-15 Eyes (Ophthalmology)
Ambulance: Land/Ground Open a PDF 10.01.07 2026-03-24 Miscellaneous
Showing 301– 342 of 342 Results

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