Breadcrumb

Page Title for page template

View Medical Policies

Asset Search Filter and Browse

or
Showing 21– 40 of 291 Results
Title Last Updated Category
Treatment of Tinnitus: Habituation Therapy, Jastreboff Method, Masking, Retraining Therapy Open a PDF 8.01.07 2019-03-22 Ear, Nose & Throat (Otorhinolaryngology)
Ophthalmologic Techniques for the Diagnosis of Glaucoma (Scanning Laser Polarimetry and Scanning Laser Ophthalmoscopy): GDx Imaging, Nerve Fiber Analysis, Heidelberg Retina Tomograph, Optomap Open a PDF 9.01.06 2019-01-15 Eyes (Ophthalmology)
Vision/Eye Therapy: Optometric Phototherapy, Occlusion Therapy, Orthoptics, Pleoptics Open a PDF 9.01.04 2019-01-17 Eyes (Ophthalmology)
Genotyping Cytochrome P450 2C9 (CYP2C9) and Vitamin K Epoxide Reductase Subunit CI (VKORC) That Affect Response to Warfarin (Coumadin®) Open a PDF 2.02.33 2018-01-09 Genetic Disease (Inherited Disease)
Genotyping or Phenotyping for Thiopurine Methyltransferase (TPMT) for Patients Treated with Azathioprine (6-MP), Inflammatory Bowel Disease Open a PDF 2.02.37 2019-02-06 Genetic Disease (Inherited Disease)
Genotyping - Targeted Therapy for Non-Small Cell Lung Cancer (NSCLC) (e.g., EGFR, ALK and KRAS) Open a PDF 2.02.35 2019-03-22 Genetic Disease (Inherited Disease)
Genotyping Uridine Diphosphate Glycuronosyltransferase (UGT1A1) for Patients Treated with Irinotecan Open a PDF 2.02.34 2019-01-17 Genetic Disease (Inherited Disease)
Molecular Markers in Fine Needle Aspirates of the Thyroid: Afirma® GEC,ThyroSeq®, ThyGenX Thyroid Oncogene Panel Open a PDF 2.02.49 2019-01-17 Genetic Disease (Inherited Disease)
Chromosomal Microarray (CMA) Analysis for Prenatal Evaluation and Evaluation of Patients with Developmental Delay/ Intellectual Disability or Autism Spectrum Disorder Open a PDF 2.02.42 2019-01-17 Genetic Disease (Inherited Disease)
Gene Expression Analysis for Prostate Cancer Management: Oncotype DX® Prostate, Prolaris® Open a PDF 2.02.48 2019-03-22 Genetic Disease (Inherited Disease)
Genetic Testing for Germline Mutations of the RET Proto Oncogene in Medullary Carcinoma of the Thyroid Open a PDF 2.02.07 2019-01-17 Genetic Disease (Inherited Disease)
Implantable Cardioverter-Defibrillator (AICD, Automatic ICD, Biventricular ICD, Dual-chamber ICD, ICD) Open a PDF 7.01.06 2018-04-18 Heart & Blood Vessels (Cardiovascular)
Percutaneous Left Atrial Appendage Closure Devices: Amplatzer® Amulet, Amplatzer® cardiac plug, Implantable hemodynamic monitor, Lariat®, PLAATO, Watchman™ Open a PDF 7.01.92 2019-01-02 Heart & Blood Vessels (Cardiovascular)
Signal Averaged Electrocardiogram (SAECG) Open a PDF 2.01.02 2019-02-06 Heart & Blood Vessels (Cardiovascular)
Transmyocardial Revascularization (TMR), Percutaneous Transmyocardial Revascularization (PTMR) Open a PDF 7.01.12 2019-03-22 Heart & Blood Vessels (Cardiovascular)
Angioplasty of Intracranial Atherosclerotic Stenoses with or without Stenting (e.g., Percutaneous Transluminal Angioplasty, Neurolink® System, Wingspan™ Stent) Open a PDF 7.01.70 2019-03-22 Nervous Systems (Neurology)
Blood Pressure Monitoring, Automated, Ambulatory Open a PDF 1.01.04 2019-01-17 Heart & Blood Vessels (Cardiovascular)
Home Exercise/Physical Therapy Equipment (e.g., Home Gym, Jacuzzi) Open a PDF 1.01.12 2019-01-17 Home Care
Cardiovascular Disease Risk Assessment - Laboratory Evaluation of Lipids: Apolipoprotein A-1, B, and E, Lipoprotein (a) Enzyme Immunoassay Open a PDF 2.02.29 2019-01-17 Lab Tests (pathology)
Measurement of Serum Antibodies to Infliximab and Adalimumab: Anser™IFX, Anser™ADA Open a PDF 2.02.47 2019-01-17 Lab Tests (pathology)
Showing 21– 40 of 291 Results