Search results with tag "Medical policy"
Artificial Intervertebral Disc - Regence.com
blue.regence.comSUR127 | 1 . Medical Policy Manual Surgery, Policy No. 127 Artificial Intervertebral Disc Effective: October 1, 2018 Next Review: February 2019 Last Review: September 2018 IMPORTANT REMINDER Medical Policies are developed to provide guidance for members and providers regarding coverage in
Electrical and Ultrasound Bone Growth Stimulators ...
www.uhcprovider.comMedical Policy Electrical and Ultrasound Bone Growth Stimulators . Policy Number: 2022T0561P Effective Date: January 1, 2022 Instructions for Use . Table of Contents Community Plan PolicyPage ... electromagnetic fields, capacitive coupling or combined magnetic fields.
Rhinoplasty and Other Nasal Surgeries - UHCprovider.com
www.uhcprovider.comNote: For placement of absorbable nasal implants (e.g., Latera) refer to the Medical Policy titled . Omnibus Codes. Rhinophyma Excision (CPT Code 30120) is considered reconstructive and medically necessary when all of the following criteria are present: One of the following: Related Commercial Policies • Cosmetic and Reconstructive Procedures
251 Drug Management and Prior Authorization
www.bluecrossma.comPharmacy Medical Policy Drug Management & Prior Authorization Table of Contents Policy: Commercial Information Pertaining to All Policies Endnotes
Epidural Steroid Injections for Spinal Pain – Commercial ...
www.uhcprovider.comUnitedHealthcare Commercial Medical Policy Effective 11/01/2021 ... Consists of an appropriate combination of medication (for example, NSAIDs, anagl esci s, etc.) in ... antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlamniar ...
Manipulation Under Anesthesia - UHCprovider.com
www.uhcprovider.comUnitedHealthcare Commercial Medical Policy Effective 04/01/2021 ... Coverage Rationale .....1 Definitions ... general or monitored anesthesia care) 22505 . Manipulation of spine requiring anesthesia, any region : 23700 .
Cosmetic and Reconstructive Procedures - UHCprovider.com
www.uhcprovider.comFor CPT codes 19316, 19325, and L8600, refer to the Coverage Determination Guideline titled Breast Reconstruction Post Mastectomy and Poland Syndrome . For CPT codes 14000, 14001, 14041, 15734, and 15738, refer to the Medical Policy titled Gender Dysphoria Treatment.
Polysomnography and Portable Monitoring for …
www.sleepinformatics.comPolysomnography and Portable Monitoring for Sleep Related Breathing Disorders: Medical Policy (Effective 04/01/2014)
Total Healthcare Management, Utilization Management and ...
www.bcbst.com1. Evidence of Coverage (EOC) / Benefit Plan 2. BlueCross Medical Policy 3. MCG Guidelines (Not used for pharmaceutical/specialty medication agents)
Medical Policy - Highmark Blue Shield
www.highmarkblueshield.comMedical Policy In this section Page A summary of Highmark Blue Shield medical policy guidelines 15.1 Medical care 15.1 ! Evaluation and management services 15.1 ! Medical decision making 15.2 ! Emergency medical and accident services 15.2 ! Emergency medical care requirements 15.2 Annual gynecological examinations and routine pap smears 15.3
Medical Policy In Vitro Fertilization (IVF) and Other ...
www.harvardpilgrim.orgCoverage described in this policy is standard under most HPHC plans. Specific benefits may vary by product and/or employer group. Please reference appropriate member materials (e.g. Benefit Handbook, Certificate of Coverage) for member-specific benefit information. Medical Policy In Vitro Fertilization (IVF) and Other Fertility Services MA
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