View Medical Policies

Showing 81– 100 of 292 Results
Title Last Updated Category
Phototherapy/Light Therapy for Seasonal Affective Disorder (SAD) Open a PDF 1.01.24 2020-11-30 Behavioral Health (Psychiatry/Psychology)
Phototherapeutic Keratoplasty/Keratectomy, PTK Open a PDF 9.01.01 2020-10-15 Eyes (Ophthalmology)
Photodynamic Therapy (PDT) for Subfoveal Choroidal Neovascularization (CNV) (e.g., Verteporfin, Visudyne) Open a PDF 8.01.11 2021-04-19 Eyes (Ophthalmology)
Photodynamic Therapy (PDT) for Malignant Disease (Photofrin, Porfimer Sodium) Open a PDF 8.01.06 2021-03-16 Cancer Treatment (Oncology)
Periodontal Scaling and Root Planing Open a PDF 13.01.04 2021-07-20 Dental
Periodontal Maintenance Open a PDF 13.01.05 2021-07-20 Dental
Percutaneous Vertebroplasty/Mechanical Vertebral Augmentation Open a PDF 6.01.17 2021-07-13 Bone & Joints (Orthopedic)
Percutaneous Posterior Tibial Nerve Stimulation (PPTNS) Open a PDF 8.01.22 2021-05-18 Nervous Systems (Neurology)
Percutaneous Left Atrial Appendage Closure Devices: Amplatzer® Amulet, Amplatzer® cardiac plug, Implantable hemodynamic monitor, Lariat®, PLAATO, Watchman™ Open a PDF 7.01.92 2020-12-16 Heart & Blood Vessels (Cardiovascular)
Percutaneous Intradiscal Electrothermal Annuloplasty Open a PDF 7.01.17 2021-04-19 Bone & Joints (Orthopedic)
Peptide Receptor Radionuclide Therapy (PRRT) Open a PDF 7.01.78 2021-09-16 Cancer Treatment (Oncology)
Pelvic Floor Electrical Stimulation as a Treatment for Urinary or Fecal Incontinence Open a PDF 1.01.19 2021-07-13 Urinary System (Genitourinary)
Patient Lifts (e.g., Hoyer, Saralift), Seat Lift Chair Mechanisms and Ceiling Lifts Open a PDF 1.01.08 2021-07-20 Home Care
Partial Hospitalization for Substance Use Disorders Open a PDF 3.01.18 2021-09-16 Behavioral Health (Psychiatry/Psychology)
Pancreas Transplant (Pancreas Transplant Alone, Pancreas After Kidney Transplant, Simultaneous Pancreas Kidney Transplant) Open a PDF 7.02.01 2021-02-16 Transplants
Out of Area/Out of Network Services Open a PDF 11.01.13 2020-09-21 Miscellaneous
Osteochondral Grafting of the Knee Open a PDF 7.01.59 2021-07-13 Bone & Joints (Orthopedic)
Orthotics Open a PDF 1.01.25 2021-05-21 Bone & Joints (Orthopedic)
Oral Appliances for the Treatment of Sleep Related Breathing Disorders: Mandibular Repositioning Device, Nocturnal Airway Patency Appliance (NAPA), Tongue Retaining Device Open a PDF 1.01.07 2020-11-30 Lungs (Respiratory)
Optical Coherence Tomography for Ophthalmological Applications (OCT) Open a PDF 9.01.10 2021-05-18 Eyes (Ophthalmology)
Showing 81– 100 of 292 Results
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