  Allied Health |
| | Ambulance and Medical Transport Services/ Ancillary Ambulance Items and Supplies |
| | Cognitive Rehabilitation |
| | Occupational Therapy in the Home and Outpatient Setting |
| | Physical Therapy in the Home and Outpatient Setting |
| | Sensory Integration Therapy and Auditory Integration Therapy |
| | Speech Therapy in the Home and Outpatient Facility |
| | Vertebral Axial Decompression |
| | Work Hardening/Conditioning Programs |
| D M E |
| | Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses |
| | Artificial Pancreas Device Systems |
| | Breast Pumps |
| | Compression Stockings |
| | Continuous or Intermittent Monitoring of Glucose in the Interstitial Fluid |
| | Continuous Passive Motion Device |
| | Cooling Devices Used in the Outpatient Setting |
| | Dynamic Splinting Devices |
| | Electrical and Electromagnetic Stimulation for the Treatment of Arthritis |
| | Electronic Salivary Reflex Stimulator |
| | Fluency Enhancing Devices for Stuttering |
| | Gait Trainers and Standing Frames |
| | Home Cardiorespiratory Monitoring |
| | Home Oxygen Therapy |
| | Home Positive Pressure Ventilation |
| | Home Traction Devices for the Treatment of Spinal Disorders and Pain |
| | Implantable Bone-Conduction and Bone-Anchored Hearing Aids |
| | Insulin Infusion Pumps |
| | Interferential Current Stimulation |
| | Intermittent Pneumatic or Mechanical Compression Devices for Peripheral Artery Disease |
| | Knee Braces |
| | Mechanical Stretching Devices for Limited Jaw Mobility |
| | Medical Beds |
| | Microprocessor-Controlled Prostheses for the Lower Limb |
| | Mobility Devices |
| | Myoelectric Prosthetic and Orthotic Components for the Upper Limb |
| | Neuromuscular Electrical Stimulation (NMES) and Functional Electrical Stimulation (FES) |
| | Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders |
| | Patient-Controlled End Range of Motion Stretching Devices |
| | Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers |
| | Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis |
| | Powered Exoskeleton for Ambulation in Patients with Lower Limb Disabilities |
| | Seat Lift Mechanisms |
| | Speech Generating Devices |
| | Thoracic-Lumbo-Sacral Orthosis with Pneumatics |
| | Threshold Electrical Stimulation as a Treatment of Motor Disorders |
| | Tumor Treating Fields Therapy |
| | UCB-Type Berkeley Shell Custom-Made Foot Orthotic |
| | Vitrectomy Chair / Vitrectomy Support System / Face-Down Positioning Device for Post-Vitrectomy Positioning |
| | Wearable Cardioverter-Defibrillators |
| Drugs |
| | Abatacept (Orencia) |
| | Afamelanotide (Scenesse) |
| | Agalsidase Beta (Fabrazyme) |
| | Alkylating Agent(s) [Temozolomide intravenous (Temodar®)] |
| | Alpha 1-Proteinase Inhibitors (Human) [Prolastin-C®, Aralast NP®, Zemaira®, Glassia®] |
| | Arsenic Trioxide (Trisenox) |
| | Atezolizumab (Tecentriq) |
| | Avelumab (Bavencio) |
| | Axicabtagene Ciloleucel (Yescarta) |
| | Belatacept (Nulojix) |
| | Belimumab (Benlysta) |
| | Belinostat (Beleodaq) |
| | Bendamustine Hydrochloride (Treanda®, Bendeka®, Belrapzo) |
| | Bimatoprost Implant (Durysta) |
| | Blinatumomab (Blincyto) |
| | Bortezomib (Velcade®) |
| | Brentuximab Vedotin (Adcetris) |
| | Brexanolone (Zulresso) |
| | Brexucabtagene autoleucel (Tecartus) |
| | Burosumab-twza (Crysvita) |
| | Cabazitaxel (Jevtana) |
| | Canakinumab (Ilaris) |
| | Capsaicin 8% patch (Qutenza) |
| | Carfilzomib (Kyprolis) |
| | Cemiplimab-rwlc (Libtayo) |
| | Cerliponase Alfa (Brineura) |
| | Certolizumab Pegol (Cimzia) |
| | Clolar (Clofarabine) |
| | Compounded Medications and Compounding Kits |
| | Copanlisib (Aliqopa) |
| | Crizanlizumab-tmca (Adakveo) |
| | Daratumumab (Darzalex), Daratumumab and hyaluronidase-fihj (Darzalex Faspro) |
| | Denosumab (Prolia, Xgeva) |
| | Drug Therapy for Hereditary Angioedema [Cinryze, Berinert, Haegarda (Human C1 Inhibitor), Kalbitor (Ecallantide), Firazyr (Icatibant), Ruconest (C1 Esterase Inhibitor [Recombinant]), Takhzyro (lanadelumab-flyo)] |
| | Drug Therapy for Transgender Policy |
| | Dupilumab (Dupixent) |
| | Durvalumab (Imfinzi) |
| | Eculizumab (Soliris) and Ravulizumab-cwvz (Ultomiris) |
| | Edaravone (Radicava) |
| | Elotuzumab (Empliciti) |
| | Emapalumab-lzsg (Gamifant) |
| | Enfortumab vedotin-ejfv (Padcev) |
| | Eptinezumab-jjmr (Vyepti) |
| | Eribulin Mesylate (Halaven) |
| | Erwinaze (Asparaginase Erwinia Chrysanthemi), Oncaspar (pegaspargase) and Asparlas (calaspargase pegol-mknl) |
| | Erythropoietin Therapy: Epoetin Alfa, Darbepoetin Alfa, Pegylated (PEG)-epoetin Beta, and Epoetin Alfa-epbx |
| | Esketamine (Spravato) |
| | Etelcalcetide (Parsabiv) |
| | Eteplirsen (Exondys 51), Golodirsen (Vyondys 53), Viltolarsen (Viltepso) for Duchenne Muscular Dystrophy |
| | Female Hormones (Non-Oral Hormonal Contraceptives, Oral Contraceptives, Implantable Estrogens) |
| | Fulvestrant (Faslodex) |
| | Gaucher Disease Therapy |
| | Gazyva (Obinutuzumab) |
| | Gemcitabine in sodium chloride injection (Infugem) |
| | Gemtuzumab Ozogamicin (Mylotarg) |
| | Givosiran (Givlaari) |
| | Golimumab (Simponi Aria) |
| | Gonadotropin-Releasing Hormone Analogs |
| | Gonadotropin-Releasing Hormone (GnRH) Receptor Antagonist [Degarelix (Firmagon™)] |
| | Granulocyte Colony Stimulating Factor (G-CSF - Neupogen, Neulasta, Granix, Zarxio, Fulphila, Nivestym, Udenyca, Ziextenzo, Nyvepria) and Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF - Leukine) |
| | Hemophilia Products - Congenital Factor VIII (Hemophilia A) with or without inhibitors: Hemlibra |
| | Hemophilia Products – Congenital Factor XIII A-Subunit Deficiency: Tretten |
| | Hemophilia Products - Congenital Factor XIII Deficiency: Corifact |
| | Hemophilia Products – Factor IX (Hemophilia B): Alphanine SD, Alprolix, Bebulin, Benefix, Idelvion, Ixinity, Mononine, Profilnine, Rebinyn, and Rixubis |
| | Hemophilia Products - Factor VIII (Hemophilia A) and Factor IX (Hemophilia B) with inhibitors, Acquired Hemophilia, Congenital Factor VII Deficiency, and Glanzmann’s Thrombasthenia: Novoseven RT and Sevenfact |
| | Hemophilia Products - Factor VIII (Hemophilia A) and Factor IX (Hemophilia B) with Inhibitors: Feiba NF |
| | Hemophilia Products - Factor VIII (Hemophilia A) and Von Willebrand disease (VWD): Alphanate, Humate-P, and Wilate |
| | Hemophilia Products – Factor VIII (Hemophilia A, Congenital and Acquired): Advate, Adynovate, Afstyla, Eloctate, Helixate FS, Hemofil M, Koate-DVI, Kogenate FS, Kovaltry, Monoclate-P, Novoeight, NUWIQ, Recombinate, Xyntha, Obizur, Jivi and Esperoct |
| | Hemophilia Products - Factor X: Coagadex |
| | Hemophilia Products – von Willebrand Factor (von Willebrand Disease): Vonvendi |
| | Histone Deacetylase Inhibitor(s) [Romidepsin (Istodax®)] |
| | H.P. Acthar Gel |
| | Ibalizumab-uiyk (Trogarzo) |
| | Imlygic (Talimogene Laherparepvec) |
| | Immune Globulin Subcutaneous (Hizentra, Gammagard Liquid, Gamunex-C/Gammaked, HyQvia, Cuvitru, Cutaquig, and Xembify for Subcutaneous Administration) |
| | Inebilizumab-cdon (Uplizna) |
| | Infliximab (Remicade), infliximab-dyyb (Inflectra), and infliximab-abda (Renflexis), infliximab-qbtx (Ixifi), and infliximab-axxq (Avsola) |
| | Injectable Antiemetic Agents [Dolasetron (Anzemet), Granisetron (Kytril, Sustol), Ondansetron (Zofran), Palonosetron (Aloxi), Rolapitant (Varubi), Aprepitant (Cinvanti), Fosaprepitant (Emend), and Fosnetupitant/Palonosetron (Akynzeo), Amisulpride (Barhemsys)] |
| | Inotuzumab Ozogamicin (Besponsa) |
| | Intranasal Influenza Virus Vaccine (FluMist Quadrivalent) |
| | Intravenous Anesthetics for the Management of Chronic Pain and Depression |
| | Intravenous Drug Therapy for Multiple Sclerosis |
| | Intravenous Immunoglobulin (IVIG) Therapy |
| | Ipilimumab (Yervoy) |
| | Isatuximab-irfc (Sarclisa) |
| | Ixabepilone (Ixempra) |
| | Laronidase (Aldurazyme), Galsulfase (Naglazyme), and Idursulfase (Elaprase), Elosulfase alfa (Vimizim), and Vestronidase alfa (Mepsevii) |
| | Lemtrada (Alemtuzumab) |
| | Levoleucovorin (Fusilev and Khapzory) |
| | Liposomal Formulation of Daunorubicin and Cytarabine (Vyxeos) |
| | Lurbinectedin (Zepzelca) |
| | Luspatercept-aamt (Reblozyl) |
| | Marqibo (Vincristine Sulfate Liposome Injection) |
| | Melphalan (Alkeran and Evomela) |
| | Mitomycin for Pyelocalyceal Solution (Jelmyto) |
| | Mogamulizumab-kpkc (Poteligeo) |
| | Monoclonal Interleukin-5 Antagonists [mepolizumab (Nucala), reslizumab (Cinqair), and benralizumab (Fasenra)] |
| | Moxetumomab Pasudotox-tdfk (Lumoxiti) |
| | Mozobil® (Plerixafor Injection) |
| | Natalizumab (Tysabri) |
| | Nivolumab (Opdivo) |
| | Non Oral Drug Therapy for Pulmonary Hypertension |
| | Nusinersen (Spinraza) |
| | Ocrelizumab (Ocrevus) |
| | Ocriplasmin (Jetrea®) |
| | Ofatumumab (Arzerra) |
| | Off-Label Use of Prescription Drugs |
| | Olaratumab (Lartruvo) |
| | Omacetaxine Mepesuccinate (Synribo) |
| | Omalizumab (Xolair) |
| | Onasemnogene Abeparvovec (Zolgensma) |
| | Onivyde (Irinotecan Liposome Injection) |
| | Orphan Drugs |
| | Oxaliplatin (Eloxatin) |
| | Paclitaxel Protein-Bound Particles (Abraxane) |
| | Patisiran (Onpattro) |
| | Pegloticase (Krystexxa®) |
| | Pembrolizumab (Keytruda) |
| | Pemetrexed Disodium (Alimta®) |
| | Polatuzumab vedotin-piiq (Polivy) |
| | Pompe Disease Treatment with Lumizyme (Alglucosidase alfa) |
| | Pralatrexate (Folotyn) |
| | Probuphine (Buprenorphine) Implant for Subdermal Administration and Sublocade (Buprenorphine Extended-Release) Injection for Subcutaneous Use |
| | Radiation Treatment with Azedra (Iobenguane I-131) |
| | Radiation Treatment with Lutathera (Lutetium; Lu 177 dotatate) |
| | Radioimmunotherapy with Zevalin® |
| | Recombinant Interleukin-2 (IL-2) |
| | Respiratory Syncytial Virus Infection Prophylaxis |
| | Retinoids, Topical |
| | Rituximab (Rituxan), Rituximab-abbs (Truxima), Rituximab-pvvr (Ruxience), and Rituximab/hyaluronidase (Rituxan Hycela) |
| | Romiplostim (Nplate) |
| | Romosozumab-aqqg (Evenity) |
| | Sacituzumab govitecan-hziy (Trodelvy) |
| | Sandostatin, Sandostatin LAR depot (Octreotide), Somatuline Depo (lanreotide), Signifor LAR (pasireotide) |
| | Sebelipase alfa (Kanuma) |
| | Siltuximab (Sylvant) |
| | Sipuleucel-T (Provenge®) |
| | Site of Service for Administration for Infusion and Injectable Prescription Medications |
| | Strontium-89 Chloride (Metastron) |
| | Tagraxofusp-erzs (Elzonris) |
| | Teprotumumab-trbw (Tepezza) |
| | Testosterone [Implantable Testosterone Pellets (Testopel Pellets), Testosterone Undecanoate (Aveed)], Testosterone Cypionate (Depo-Testosterone), or Testosterone Enanthate (Delatestryl)] |
| | Tildrakizumab (Ilumya) |
| | Tisagenlecleucel (Kymriah) |
| | Tocilizumab (Actemra) |
| | Topotecan Hydrochloride (Hycamtin) Injection |
| | Trastuzumab (Herceptin), Trastuzumab-dkst (Ogivri), Ado-trastuzumab emtansine (Kadcyla), Trastuzumab-pkrb (Herzuma), Trastuzumab-dttb (Ontruzant), Trastuzumab and Hyaluronidase-oysk (Herceptin Hylecta), Trastuzumab-qyyp (Trazimera), Trastuzumab-anns (Kanjinti), Fam-trastuzumab deruxtecan-nxki (Enhertu), Pertuzumab (Perjeta), and Pertuzumab, Trastuzumab, and hyaluronidase-zzxf (Phesgo) |
| | Triamcinolone Acetonide Extended-Release (Zilretta) |
| | Ustekinumab (Stelara) |
| | Vascular Endothelial Growth Factor Inhibitor and Human Epidermal Growth Factor Receptor Inhibitor |
| | Vedolizumab (Entyvio™) |
| | Vivitrol® (Naltrexone Extended-Release) Injection |
| | Voretigene neparvovec-rzyl (Luxturna) |
| | Xiaflex (Collagenase Clostridium Histolyticum) |
| | Yondelis (Trabectedin) |
| Introduction |
| | Definition of Investigational/Experimental Procedure |
| | Definition of Medical Emergency |
| | Definition of Medical Necessity |
| | Description of the Clinical Policy Committee |
| | General Guideline for Advanced Imaging Studies |
| | General Guideline for the Delineation of Medical vs. Dental and Accidental Dental Benefits |
| | Medical Policy Development Policy and Procedures |
| | Principles of Pain Management |
| | Public Health Emergency |
| Medicine |
| | Actigraphy |
| | Aerosolized Antibiotics as a Treatment of Chronic Sinusitis |
| | Allergen Immunotherapy |
| | Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry |
| | Aqueous Shunts and Stents for Glaucoma |
| | Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer |
| | Automated Point-of-Care Nerve Conduction Tests |
| | Autonomic Nervous System Testing |
| | Bioimpedance Devices for Detection and Management of Lymphedema |
| | Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting |
| | Chelation Therapy for Off-Label Uses |
| | Chromoendoscopy as an Adjunct to Colonoscopy |
| | Chronic Intermittent Intravenous Insulin Therapy (CIIIT) |
| | Computerized 2-Lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Disease |
| | Computerized Corneal Topography/Videokeratography |
| | Confocal Laser Endomicroscopy |
| | Cutaneous Electrogastrography (EGG) |
| | Cytochrome P450 Genotype-Guided Treatment Strategy |
| | Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome |
| | Dynamic Posturography |
| | Electrocardiographic Body Surface Mapping |
| | Electromyography and Nerve Conduction Studies |
| | Epithelial Cell Cytology in Breast Cancer Risk Assessment and High-Risk Patient Management (Ductal Lavage and Suction Collection Systems) |
| | Esophageal pH Monitoring |
| | Fecal Microbiota Transplantation |
| | Gait Analysis for Cerebral Palsy and Other Conditions |
| | Gas Permeable Scleral Contact Lens |
| | Gene Expression Profile Testing and Circulating Tumor DNA Testing for Predicting Recurrence in Colon Cancer |
| | Genetic Testing for Lipoprotein(a) Variant(s) as an Decision Aid for Aspirin Treatment |
| | Genotype-Guided Tamoxifen Treatment |
| | Genotype-Guided Warfarin Dosing |
| | Heart Rate Variability Measurement |
| | Home Spirometry |
| | Hyperbaric Oxygen Therapy |
| | Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies |
| | In Vivo Analysis of Colorectal Polyps |
| | Ingestible pH and Pressure Capsule |
| | Insulin Potentiation Therapy |
| | Intracellular Micronutrient Analysis |
| | Measurement of Long-Chain Omega-3 Fatty Acids in Red Blood Cell Membranes as a Cardiac Risk Factor |
| | Melanoma Vaccines |
| | Microwave Thermotherapy for Primary Breast Cancer |
| | Navigated Transcranial Magnetic Stimulation |
| | Nerve Fiber Density Measurement |
| | Noninvasive Electroencephalography (EEG) |
| | Observation Care |
| | Ophthalmologic Techniques that Evaluate the Posterior Segment for Glaucoma |
| | Optical Coherence Tomography for Imaging of Coronary Arteries |
| | Optical Coherence Tomography (OCT) of the Anterior Eye Segment |
| | Paraspinal Surface Electromyography (SEMG) to Evaluate and Monitor Back Pain |
| | Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia |
| | Polysomnography for Non‒Respiratory Sleep Disorders |
| | Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to Ischemia |
| | Quantitative Electroencephalography as a Diagnostic Aid for Attention-Deficit/Hyperactivity Disorder |
| | Quantitative Sensory Testing |
| | Rhinomanometry and Acoustic/Optical Rhinometry |
| | Serum Holotranscobalamin as a Marker of Vitamin B12 (Cobalamin) Status |
| | Signal-Averaged Electrocardiography (SAECG) |
| | Suprachoroidal Delivery of Pharmacologic Agents |
| | T-Wave Alternans |
| | Temporomandibular Joint Disorder |
| | Ultrafiltration in Decompensated Heart Failure |
| | Ultrasonographic Evaluation of Skin Lesions |
| | Use of Common Genetic Variants to Predict Risk of Nonfamilial Breast Cancer |
| | Vestibular Function Testing |
| | Viscocanalostomy and Canaloplasty |
| | Visual-Evoked Potential (VEP)/Visual-Evoked Response (VER) |
| | Vitiligo |
| Obstetrics |
| | Assisted Reproductive Technologies |
| | Chromosomal Microarray Analysis for the Evaluation of Pregnancy Loss |
| | Fetal Surgery for Prenatally Diagnosed Malformations |
| | Noninvasive Prenatal Screening for Fetal Aneuploidies, Microdeletions, and Twin Zygosity Using Cell-Free Fetal DNA |
| | Preimplantation Genetic Testing |
| | Progesterone Therapy as a Technique to Reduce Preterm Delivery in High Risk Pregnancies |
| Pathology |
| | Allergy Testing |
| | Alpha-Fetoprotein-L3 for Detection of Hepatocellular (Liver) Cancer |
| | Analysis of MGMT Promoter Methylation in Malignant Gliomas |
| | Analysis of Proteomic Patterns in Serum to Identify Cancer |
| | Antigen Leukocyte Antibody Test |
| | B-Type Natriuretic Peptide in Heart Failure |
| | BCR-ABL1 Testing in Chronic Myelogenous Leukemia and Acute Lymphoblastic Leukemia |
| | BRAF Gene Mutation Testing To Select Melanoma or Glioma Patients for Targeted Therapy |
| | Cardiovascular Risk Panels |
| | Carrier Screening for Genetic Diseases |
| | Cerebrospinal Fluid and Urinary Biomarkers of Alzheimer Disease |
| | Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy) |
| | Circulating Tumor DNA for Management of Non-Small-Cell-Lung Cancer (Liquid Biopsy) |
| | DNA-Based Testing for Adolescent Idiopathic Scoliosis |
| | Drug Testing in Pain Management and Substance Use Disorder Treatment Settings |
| | Expanded Molecular Panel Testing of Cancers to Identify Targeted Therapies |
| | Fecal Analysis in the Diagnosis of Intestinal Dysbiosis |
| | Fecal Calprotectin Testing |
| | Gene Expression-Based Assays for Cancers of Unknown Primary |
| | Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management |
| | Gene Expression Profiling for Cutaneous Melanoma |
| | Gene Expression Profiling for Uveal Melanoma |
| | Gene Expression Testing in the Evaluation of Patients With Stable Ischemic Heart Disease |
| | General Approach to Evaluating the Utility of Genetic Panels |
| | General Approach to Genetic Testing |
| | Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer |
| | Genetic Cancer Susceptibility Panels |
| | Genetic Testing for Alpha-Thalassemia |
| | Genetic Testing for Alpha1-Antitrypsin Deficiency |
| | Genetic Testing for Alzheimer Disease |
| | Genetic Testing for BRCA1 or BRCA2 for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers |
| | Genetic Testing for CADASIL Syndrome |
| | Genetic Testing for Cardiac Ion Channelopathies |
| | Genetic Testing for CHARGE Syndrome |
| | Genetic Testing for Developmental Delay/Intellectual Disability, Autism Spectrum Disorder, and Congenital Anomalies |
| | Genetic Testing for Diagnosis and Management of Mental Health Conditions |
| | Genetic Testing for Duchenne and Becker Muscular Dystrophy |
| | Genetic Testing for Epilepsy |
| | Genetic Testing for Facioscapulohumeral Muscular Dystrophy |
| | Genetic Testing for Familial Cutaneous Malignant Melanoma |
| | Genetic Testing for Fanconi Anemia |
| | Genetic Testing for FLT3, NPM1, and CEBPA Mutations in Cytogenetically Normal Acute Myeloid Leukemia |
| | Genetic Testing for FMR1 Mutations (including Fragile X Syndrome) |
| | Genetic Testing for Helicobacter Pylori Treatment |
| | Genetic Testing for Hereditary Hearing Loss |
| | Genetic Testing for Hereditary Hemochromatosis |
| | Genetic Testing for Hereditary Pancreatic Cancer |
| | Genetic Testing for Hereditary Pancreatitis |
| | Genetic Testing for Heterozygous Familial Hypercholesterolemia |
| | Genetic Testing for Idiopathic Dilated Cardiomyopathy |
| | Genetic Testing for Inherited Thrombophilia |
| | Genetic Testing for Lactase Insufficiency |
| | Genetic Testing for Li-Fraumeni Syndrome |
| | Genetic Testing for Limb-Girdle Muscular Dystrophies |
| | Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndromes |
| | Genetic Testing for Macular Degeneration |
| | Genetic Testing for Marfan Syndrome, Thoracic Aortic Aneurysms and Dissections, and Related Disorders |
| | Genetic Testing for Mitochondrial Disorders |
| | Genetic Testing for Neurofibromatosis |
| | Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy |
| | Genetic Testing for PTEN Hamartoma Tumor Syndrome |
| | Genetic Testing for Rett Syndrome |
| | Genetic Testing for Statin-Induced Myopathy |
| | Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies |
| | Genotyping for 9p21 Single Nucleotide Polymorphisms to Predict Risk of Cardiovascular Disease or Aneurysm |
| | Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disease |
| | Human Leukocyte Antigen Testing for Celiac Disease |
| | Identification of Microorganisms Using Nucleic Acid Probes |
| | Immune Cell Function Assay |
| | In Vitro Chemosensitivity and Chemoresistance Assays |
| | Invasive Prenatal (Fetal) Diagnostic Testing |
| | JAK2, MPL, and CALR Testing for Myeloproliferative Neoplasms |
| | KIF6 Genotyping for Predicting Cardiovascular Risk and/or Effectiveness of Statin Therapy |
| | KRAS, NRAS, and BRAF Variant Analysis in Metastatic Colorectal Cancer |
| | Laboratory and Genetic Testing for Use of 5-Fluorouracil in Patients With Cancer |
| | Laboratory Tests for Heart and Kidney Transplant Rejection |
| | Measurement of Lipoprotein-Associated Phospholipase A2 in the Assessment of Cardiovascular Risk |
| | Measurement of Serum Antibodies to Infliximab, Adalimumab, Ustekinumab and Vedolizumab |
| | Microarray-Based Gene Expression Profile Testing for Multiple Myeloma Risk Stratification |
| | Miscellaneous Genetic and Molecular Diagnostic Tests |
| | Moderate Penetrance Variants Associated with Breast Cancer in Individuals at High Breast Cancer Risk |
| | Molecular Analysis for Targeted Therapy for Non-Small-Cell Lung Cancer |
| | Molecular Gastrointestinal Pathogen Panel (GIPP) Testing |
| | Molecular Markers in Fine Needle Aspirates of the Thyroid |
| | Molecular Testing for Chronic Heart Failure and Heart Transplant |
| | Molecular Testing for the Management of Pancreatic Cysts, Barrett Esophagus, and Solid Pancreatic Lesions |
| | Molecular Testing in the Management of Pulmonary Nodules |
| | Multibiomarker Disease Activity Blood Test for Rheumatoid Arthritis |
| | Multimarker Serum Testing Related to Ovarian Cancer |
| | Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis |
| | Next-Generation Sequencing for the Assessment of Measurable Residual Disease |
| | Noninvasive Fetal RHD Genotyping Using Cell-Free Fetal DNA |
| | Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease |
| | Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease |
| | Nutrient/Nutritional Panel Testing |
| | Pharmacogenetic Testing for Pain Management |
| | Proteogenomic Testing for Patients With Cancer |
| | Proteomic Testing for Targeted Therapy in Non-Small Cell Lung Cancer |
| | Quantitative Assay for Measurement of HER2 Total Protein Expression and HER2 Dimers |
| | Salivary Hormone Testing for Menopause |
| | Serologic Genetic and Molecular Screening for Colorectal Cancer |
| | Serologic Markers for the Diagnosis of Irritable Bowel Syndrome |
| | Serum Biomarker Human Epididymis Protein 4 (HE4) |
| | Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases |
| | Serum Biomarker Tests for Multiple Sclerosis |
| | Systems Pathology in Prostate Cancer |
| | Testing Serum Vitamin D Levels |
| | Tumor Markers Other Than Prostate Specific Antigen (PSA) |
| | Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C Infection |
| | Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders |
| Radiology |
| | Adult Abdomen Imaging Policy |
| | Adult Breast Imaging |
| | Adult Cardiac Imaging Policy |
| | Adult Chest Imaging Policy |
| | Adult Head Imaging Policy |
| | Adult Musculoskeletal Imaging Policy |
| | Adult Neck Imaging Policy |
| | Adult Oncology Imaging Policy |
| | Adult Pelvis Imaging Policy |
| | Adult Peripheral Nerve Disorders Imaging Policy |
| | Adult Peripheral Vascular Disease Imaging Policy |
| | Adult Spine Imaging Policy |
| | Bone Mineral Density Studies and Vertebral Fracture Assessment With Densitometry |
| | Cone Beam Computed Tomography |
| | Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow Reserve |
| | Discography |
| | Dynamic Spinal Visualization and Vertebral Motion Analysis |
| | Endobronchial Brachytherapy |
| | Endobronchial Ultrasound for Diagnosis and Staging of Lung Cancer |
| | Epidurography, Radiological Supervision and Interpretation |
| | Hyperthermia in Conjunction with Radiation Therapy |
| | Image-Guided Radiation Therapy (IGRT) |
| | Intracavitary Balloon Catheter Brain Brachytherapy for Malignant Gliomas or Metastasis to the Brain |
| | Intraocular Radiation Therapy for Age-Related Macular Degeneration |
| | Neutron Beam Therapy |
| | Obstetrical Ultrasound Policy |
| | Pediatric Abdomen Imaging Policy |
| | Pediatric Cardiac Imaging Policy |
| | Pediatric Chest Imaging Policy |
| | Pediatric Head Imaging Policy |
| | Pediatric Musculoskeletal Imaging Policy |
| | Pediatric Neck Imaging Policy |
| | Pediatric Oncology Imaging Policy |
| | Pediatric Pelvis Imaging Policy |
| | Pediatric Peripheral Nerve Disorder Imaging Policy |
| | Pediatric Peripheral Vascular Disorder Imaging Policy |
| | Pediatric Spine Imaging Policy |
| | Proton Beam Therapy |
| | Radiation Therapy - Xofigo® |
| | Radiation Therapy for Anal Canal Cancer |
| | Radiation Therapy for Bladder Cancer |
| | Radiation Therapy for Bone Metastases |
| | Radiation Therapy for Brain Metastases |
| | Radiation Therapy for Breast Cancer |
| | Radiation Therapy for Cervical Cancer |
| | Radiation Therapy for Endometrial Cancer |
| | Radiation Therapy for Esophageal Cancer |
| | Radiation Therapy for Gastric Cancer |
| | Radiation Therapy for Head and Neck Cancer |
| | Radiation Therapy for Hepatobiliary Cancer |
| | Radiation Therapy for Hodgkin Lymphoma |
| | Radiation Therapy for Kidney and Adrenal Cancer |
| | Radiation Therapy for Multiple Myeloma and Solitary Plasmacytomas |
| | Radiation Therapy for Non-Hodgkin's Lymphoma |
| | Radiation Therapy for Non-Malignant Disease |
| | Radiation Therapy for Non-Small-Cell Lung Cancer |
| | Radiation Therapy for Oligometastases |
| | Radiation Therapy for Pancreatic Cancer |
| | Radiation Therapy for Primary Craniospinal Tumors and Neurologic Conditions |
| | Radiation Therapy for Prostate Cancer |
| | Radiation Therapy for Rectal Cancer |
| | Radiation Therapy for Skin Cancer - Basal Cell and Squamous Cell |
| | Radiation Therapy for Skin Cancer - Melanoma |
| | Radiation Therapy for Small Cell Lung Cancer |
| | Radiation Therapy for Soft Tissue Sarcomas |
| | Radiation Therapy for Testicular Cancer |
| | Radiation Therapy for Thymoma and Thymic Cancer |
| | Radiation Therapy for Urethral Cancer and Upper Genitourinary Tract Tumors |
| | Radiation Therapy for Vulvar Cancer |
| | Radioactive Seed Localization of Nonpalpable Breast Lesions |
| | Sacroiliac Joint Arthrography |
| | Thermography |
| | Ultrasonic Guidance for Knee Joint Injection or Aspiration |
| | Whole-Body CT Screening |
| | Whole Body Dual X-Ray Absorptiometry (DEXA) to Determine Body Composition |
| | Wireless Capsule Endoscopy as a Diagnostic Technique in Disorders of the Small Bowel, Esophagus, and Colon |
| Surgery |
| | Abdominoplasty, Panniculectomy and Diastasis Muscle Repair |
| | Ablation Procedures for Peripheral Neuromas |
| | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse |
| | Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast |
| | Allogeneic Pancreas Transplant |
| | Amniotic Membrane and Amniotic Fluid |
| | Anesthesia Care During Interventional Pain Management Procedures |
| | Arthroscopic Debridement and Lavage as Treatment for Osteoarthritis of the Knee |
| | Arthroscopy for Treatment of Knee Derangement |
| | Artificial Intervertebral Disc: Cervical Spine |
| | Artificial Intervertebral Disc: Lumbar Spine |
| | Assistants at Surgery |
| | Auditory Brainstem Implant (ABI) |
| | Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions |
| | Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions |
| | Automated Percutaneous and Percutaneous Endoscopic Discectomy |
| | Axial Lumbosacral Interbody Fusion |
| | Balloon Dilation of the Eustachian Tube |
| | Balloon Ostial Dilation as an Alternative to Endoscopic Sinus Surgery for Treatment of Chronic Rhinosinusitis |
| | Blepharoplasty |
| | Bone Morphogenetic Protein |
| | Bronchial Thermoplasty |
| | Bronchial Valves |
| | Closure Devices for Patent Foramen Ovale and Atrial Septal Defects |
| | Cochlear Implantation |
| | Colorectal Cancer Screening |
| | Composite Tissue Allotransplantation of the Hand and Face |
| | Computer-Assisted Navigation for Orthopedic Procedure |
| | Cosmetic Procedures |
| | Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors |
| | Cryosurgical Ablation of Primary or Metastatic Liver Tumors |
| | Deep Brain Stimulation |
| | Discectomy |
| | Electromagnetic Navigation Bronchoscopy |
| | Endothelial Keratoplasty |
| | Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms) |
| | Endovascular Therapies for Extracranial Vertebral Artery Disease |
| | Epidural Spinal Endoscopy |
| | Explantation of Breast Implants |
| | Extracranial Carotid Artery Stenting |
| | Facet Arthroplasty |
| | Foot Care Services |
| | Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis |
| | Gender Reassignment/Gender Affirming Surgery |
| | Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins during Breast-Conserving Surgery |
| | Heart Transplant |
| | Heart/Lung Transplant |
| | Hip Resurfacing |
| | Image-Guided Minimally Invasive Decompression for Spinal Stenosis |
| | Implantable Cardioverter Defibrillator (ICD) |
| | Implantation of Intrastromal Corneal Ring Segments |
| | Injectable Bulking Agents for the Treatment of Urinary Incontinence |
| | Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers) |
| | Interspinous Fixation (Fusion) Devices |
| | Intraoperative Neurophysiologic Monitoring |
| | Islet Transplantation |
| | Isolated Limb Perfusion/Isolated Limb Infusion for Malignant Melanoma |
| | Isolated Small Bowel Transplant |
| | Keratoprosthesis |
| | Kidney Transplant |
| | Laminectomy |
| | Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids |
| | Leadless Cardiac Pacemaker |
| | Liver Transplant and Combined Liver-Kidney Transplant |
| | Lumbar Spinal Fusion |
| | Lung and Lobar Lung Transplant |
| | Lung Volume Reduction Surgery for Severe Emphysema |
| | Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease |
| | Magnetic Resonance Imaging-Guided Focused Ultrasound |
| | Mastectomy for Gynecomastia |
| | Meniscal Allografts and Other Meniscal Implants |
| | Microwave Tumor Ablation |
| | Nerve Graft with Radical Prostatectomy |
| | Non-Pharmacologic Treatment of Rosacea |
| | Occipital Nerve Stimulation |
| | Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures) |
| | Orthognathic Surgery |
| | Ovarian and Internal Iliac Vein Endovascular Occlusion as a Treatment of Pelvic Congestion Syndrome |
| | Partial Left Ventriculectomy |
| | Patient-Specific Instrumentation (e.g., Cutting Guides) for Joint Arthroplasty |
| | Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation |
| | Percutaneous Tibial Nerve Stimulation |
| | Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR) |
| | Phrenic Nerve Stimulation for Central Sleep Apnea |
| | Physician Standby Service |
| | Placement of Iliac Vein Stent |
| | Placental and Umbilical Cord Blood as a Source of Stem Cells |
| | Plugs for Anal Fistula Repair |
| | Post-Mastectomy Reconstructive Breast Surgery |
| | Prostatic Urethral Lift |
| | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors |
| | Radiofrequency Ablation of Primary or Metastatic Liver Tumors |
| | Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Resistant Hypertension |
| | Reduction Mammaplasty |
| | Refractive Keratoplasty Procedures |
| | Removal of Benign Skin Lesions |
| | Responsive Neurostimulation for the Treatment of Refractory Partial Epilepsy |
| | Retinal Prosthesis |
| | Rhinoplasty |
| | Risk-Reducing Mastectomy |
| | Risk-Reducing Salpingo-Oophorectomy |
| | Sacroiliac Joint Fusion/Stabilization |
| | Septoplasty |
| | Shoulder Resurfacing |
| | Small Bowel/Liver and Multivisceral Transplant |
| | Spinal Cord and Implantable Peripheral Nerve Stimulators |
| | Steroid-Eluting Sinus Stents |
| | Subtalar Arthroereisis |
| | Surgery for Groin Pain in Athletes |
| | Surgery for Morbid Obesity |
| | Surgical Deactivation of Headache Trigger Sites |
| | Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dysmenorrhea |
| | Surgical Treatment of Hyperhidrosis |
| | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome |
| | Surgical Treatments for Breast Cancer-Related Lymphedema |
| | Surgical Ventricular Restoration |
| | Synthetic Cartilage Implants for Joint Pain |
| | Total Ankle Replacement (Arthroplasty) |
| | Total Artificial Hearts and Implantable Ventricular Assist Devices |
| | Transanal Endoscopic Microsurgery (TEMS) |
| | Transcatheter Aortic Valve Implantation for Aortic Stenosis |
| | Transcatheter Arterial Chemoembolization To Treat Primary or Metastatic Liver Malignancies |
| | Transcatheter Mitral Valve Repair |
| | Transcatheter Pulmonary Valve Implantation |
| | Transmyocardial Revascularization |
| | Transplant Donor and Recipient Policy |
| | Transurethral Water Vapor Thermal Therapy for Benign Prostatic Hyperplasia |
| | Treatment of Varicose Veins/Venous Insufficiency |
| | TX1 Device for Percutaneous Ultrasonic Tenotomy or Fasciotomy for the Treatment of Chronic Pain |
| | Unicondylar Interpositional Spacer as a Treatment of Unicompartmental Arthritis of the Knee |
| | Unna Boot |
| | Vagus Nerve Blocking Therapy for Treatment of Obesity |
| | Vagus Nerve Stimulation (VNS) |
| | Vertical Expandable Prosthetic Titanium Rib |
| Treatment |
| | Ablation of Peripheral Nerves to Treat Pain |
| | Acupuncture |
| | Adoptive Immunotherapy |
| | Alcohol Injections for Treatment of Peripheral Neuromas |
| | Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias |
| | Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms |
| | Angiogenic Inhibitors for the Treatment of Ophthalmic Macular Conditions |
| | Antineoplaston Therapy |
| | Autologous Hematopoietic Cell Transplantation for Malignant Astrocytomas and Gliomas |
| | Baroreflex Stimulation Devices |
| | Bioengineered Skin and Soft Tissue Substitutes |
| | Biofeedback |
| | Botulinum Toxin |
| | Brachytherapy of the Coronary Arteries |
| | Cardiac Rehabilitation in the Outpatient Setting |
| | Chemical Peels |
| | Chemonucleolysis |
| | Chiropractic Review Policy |
| | Colon Hydrotherapy |
| | Comprehensive Programs for the Management of Autism Spectrum Disorders |
| | Corneal Collagen Cross-Linking |
| | Cranial Electrotherapy Stimulation and Auricular Electrostimulation |
| | Cupping Therapy |
| | Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty) |
| | Dermatologic Applications of Photodynamic Therapy |
| | Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis |
| | Donor Lymphocyte Infusion for Malignancies Treated with an Allogeneic Hematopoietic Stem-Cell Transplant |
| | Dry Needling of Myofascial Trigger Points |
| | Electrical Bone Growth Stimulation of the Appendicular Skeleton |
| | Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures |
| | Electrostimulation and Electromagnetic Therapy for Treating Wounds |
| | Electrotherapies in Pain Management |
| | End Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema |
| | Endoscopic Radiofrequency Ablation or Cryoablation for Barrett Esophagus |
| | Enhanced External Counterpulsation (EECP) |
| | Epidural Steroid Injections |
| | Extracorporeal Membrane Oxygenation for Adult Conditions |
| | Extracorporeal Photopheresis |
| | Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions |
| | Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome |
| | Facet Joint Injections/Medial Branch Blocks |
| | Focal Treatments for Prostate Cancer |
| | Gastric Electrical Stimulation |
| | Greater Occipital Nerve Block |
| | Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia |
| | Hematopoietic Cell Transplantation for Acute Myeloid Leukemia |
| | Hematopoietic Cell Transplantation for Autoimmune Diseases |
| | Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors and Ependymoma |
| | Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma |
| | Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia |
| | Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer |
| | Hematopoietic Cell Transplantation for Hodgkin Lymphoma |
| | Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults |
| | Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas |
| | Hematopoietic Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS Syndrome |
| | Hematopoietic Cell Transplantation for Primary Amyloidosis |
| | Hematopoietic Cell Transplantation for Solid Tumors of Childhood |
| | Hematopoietic Cell Transplantation for Waldenstrom Macroglobulinemia |
| | Hematopoietic Cell Transplantation in the Treatment of Germ Cell Tumors |
| | Hematopoietic Stem Cell Transplantation for Breast Cancer |
| | Hippotherapy |
| | Implantable Intrathecal Drug Delivery Systems |
| | Inhaled Nitric Oxide |
| | Interventions for Progressive Scoliosis |
| | Intradialytic Parenteral Nutrition |
| | Intravenous Antibiotic Therapy for Lyme Disease |
| | Intravenous/Intramuscular Vitamin and/or Mineral Therapy |
| | Intravesical Transurethral Electrical Bladder Stimulation (ITEBS) |
| | Intravitreal and Punctum Corticosteroid Implants |
| | Ketogenic Diet |
| | Laser Treatment of Onychomycosis |
| | Low-Level Laser Therapy |
| | Low Intensity Pulsed Ultrasound Fracture Healing Device |
| | Lysis of Epidural Adhesions |
| | Manipulation Under Anesthesia |
| | Medical Nutritional Therapy for Inherited Metabolic Disease |
| | Negative-Pressure Wound Therapy |
| | Neural Therapy |
| | Neurofeedback |
| | Non-Contact Ultrasound Treatment for Wounds |
| | Nutritional Support (Infant Formulas, Enteral Nutrition and Total Parenteral Nutrition) |
| | Opioid Antagonists Under Heavy Sedation or General Anesthesia as a Technique of Opioid Detoxification |
| | Orthopedic Applications of Platelet-Rich Plasma |
| | Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow) |
| | Outpatient Pulmonary Rehabilitation |
| | Pediatric Intensive Feeding Programs |
| | Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence and Dynamic Rectal Control System as a Treatment of Fecal Incontinence |
| | Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation |
| | Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty |
| | Percutaneous Neurolysis for Trigeminal Neuralgia |
| | Percutaneous Vertebroplasty and Sacroplasty |
| | Photocoagulation of Macular Drusen |
| | Photodynamic Therapy for Choroidal Neovascularization |
| | Phototherapy for Psoriasis |
| | Plasma Exchange |
| | Prescription Digital Therapeutics for Substance Abuse |
| | Prolotherapy |
| | Radioembolization for Primary and Metastatic Tumors of the Liver |
| | Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions |
| | Radiofrequency Joint Ablation/Denervation |
| | Recombinant and Autologous Platelet-Derived Growth Factors as a Treatment of Wound Healing and Other Non-Orthopedic Conditions |
| | Regional Sympathetic Blocks |
| | Sacral Nerve Neuromodulation/Stimulation |
| | Sacroiliac Joint Injections |
| | Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions |
| | Sodium Hyaluronate Injections |
| | Solesta (Dextranomer and Sodium Hyaluronate Gel for Submucosal Injection) |
| | Sphenopalatine Ganglion Block for Headache |
| | Stem-Cell Therapy for Peripheral Arterial Disease |
| | Thermal Capsulorrhaphy as a Treatment of Joint Instability |
| | Transanal Radiofrequency Treatment of Fecal Incontinence |
| | Transcranial Magnetic Stimulation as a Treatment of Disorders Other Than Psychiatric/Behavioral Health-Related Conditions |
| | Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease |
| | Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization |
| | Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence |
| | Treatment of Tinnitus |
| | Trigger Point Injections |
| | Vision Therapy or Orthoptic Therapy for the Treatment of Visual Disorders or Learning Disabilities |
are new or under revision
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