View Medical Policies

Showing 201– 220 of 298 Results
Title Last Updated Category
Osteochondral Grafting of the Knee Open a PDF 7.01.59 2023-06-14 Bone & Joints (Orthopedic)
Out-of-Network Services Open a PDF 11.01.13 2024-02-09 Miscellaneous
Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome Open a PDF 4.01.10 2023-10-09 Women's Health (Obstetrics & Gynecology)
Pancreas Transplant Open a PDF 7.02.01 2023-02-15 Transplants
Partial Hospitalization for Substance Use Disorders Open a PDF 3.01.18 2023-09-18 Behavioral Health (Psychiatry/Psychology)
Patient Lifts (e.g., Hoyer, Saralift, Seat Lift Chair Mechanisms and Ceiling Lifts) Open a PDF 1.01.08 2023-08-09 Home Care
Pelvic Floor Electrical Stimulation as a Treatment for Urinary or Fecal Incontinence Open a PDF 1.01.19 2023-07-18 Urinary System (Genitourinary)
Percutaneous Intradiscal Electrothermal Annuloplasty (IDET/IDTA, PIRFT, Biacuplasty) and Intradiscal Injections Open a PDF 7.01.17 2024-01-03 Bone & Joints (Orthopedic)
Percutaneous Vertebroplasty/Mechanical Vertebral Augmentation Open a PDF 6.01.17 2023-03-15 Bone & Joints (Orthopedic)
Periodontal Maintenance Open a PDF 13.01.05 2023-07-18 Dental
Periodontal Scaling and Root Planing Open a PDF 13.01.04 2023-07-18 Dental
Pharmacogenetics Open a PDF 2.02.30 2023-12-20 Genetic Disease (Inherited Disease)
Photodynamic Therapy (PDT) for Malignant Disease Open a PDF 8.01.06 2023-03-15 Cancer Treatment (Oncology)
Photodynamic Therapy (PDT) for Subfoveal Choroidal Neovascularization Open a PDF 8.01.11 2023-04-18 Eyes (Ophthalmology)
Phototherapy for the Treatment of Seasonal Affective Disorder Open a PDF 1.01.24 2023-11-02 Behavioral Health (Psychiatry/Psychology)
Physical Therapy (PT) Open a PDF 8.01.12 2023-12-09 Therapy & Rehabilitation
Plasmapheresis, Plasma Exchange and Apheresis Open a PDF 8.01.04 2023-03-15 Blood Disorders (Hematology)
Plugs for Fistula Repair Open a PDF 7.01.86 2023-03-15 Digestive System (Gastroenterology)
Positive Airway Pressure Devices CPAP BiPAP APAP and Noninvasive Positive Pressure Ventilators (NIV) Open a PDF 1.01.06 2024-01-25 Sleep Medicine
Showing 201– 220 of 298 Results


GDPR Notification Content