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Ingestible pH and Pressure Capsule - Regence.com

MED117 | 1 Medical Policy Manual Medicine, Policy No. 117 Ingestible pH and Pressure Capsule Effective: December 1, 2017 Next Review: October 2018 Last Review: October 2017 IMPORTANT REMINDER Medical Policies are developed to provide guidance for members and providers regarding coverage in accordance with contract terms. Benefit determinations are based in all cases on the applicable contract language. To the extent there may be any conflict between the Medical Policy and contract language, the contract language takes precedence.

MED117 | 2 . The ingestible pH and pressure capsule, which may also be referred to as a wireless motility capsule, measures pH, pressure, and temperature changes to signify passage of the capsule

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