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Claims and Medical Policies
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Medical Policies
Archive
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For Providers
Claims and Medical Policies
Medical Policies
Archive
Policy Name
Date Archived
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Ocular Photodynamic Therapy
Nov. 30, 2022
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Treatment of Acne
Aug. 24, 2022
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Saturation Biopsy for Diagnosis and Staging of Prostate Cancer
Nov. 30, 2022
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Biometric Bone Void Filler
July 27, 2022
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Discography
July 27, 2022
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Hydrogel Spacer use During Radiotherapy for Prostate Cancer
Nov. 30, 2022
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Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma
July 27, 2022
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Hematopoietic Cell Transplantation for Multiple Myeloma and POEMS Syndrome
July 27, 2022
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Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms
July 27, 2022
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Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer
July 27, 2022
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Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults
July 27, 2022
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Hematopoietic Cell Transplantation for Acute Myeloid Leukemia
July 27, 2022
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Hematopoietic Cell Transplantation for Hodgkin Lymphoma
July 27, 2022
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Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
July 27, 2022
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Hematopoietic Cell Transplantation for Primary Amyloidosis
July 27, 2022
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Speech Therapy
Nov. 30, 2022
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Multiple Surgical Procedures
Nov. 30, 2022
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Obstetrical Ultrasound
Oct. 26, 2022
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Recommendations for Evidence-Based Practice
Nov. 30, 2022
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Seat Lift Mechanisms
Oct. 26, 2022
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Leadless Cardiac Pacemaker (s-267)
Dec. 28, 2022
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Pre-Oral Endoscopic Myotomy (POEM) (s-269)
Dec. 28, 2022
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Dermatologic Applications of Photodynamic Therapy (s-71)
Dec. 28, 2022
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Standby Services (z-32)
Dec. 27, 2022
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Electromagnetic Navigational Bronchoscopy
Nov. 30, 2022