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Políticas Médicas

Las políticas médicas son documentos que definen el reconocimiento de cubierta para tecnologías, procedimientos y tratamientos. Las declaraciones de necesidad médica en las políticas, sobre si una tecnología, procedimiento, tratamiento, suplido, equipo, medicamento u otro servicio mejora el resultado en la salud de la población para la cual dicha tecnología o tratamiento fue diseñado se basan en evidencia científica, estudios clínicos y opiniones profesionales de nuestros proveedores y de las organizaciones médicas reconocidas.

Cada documento desplegado en este sitio Web se provee con propósitos informativos solamente y no es una autorización, explicación de beneficios o un contrato. El recibir beneficios está sujeto a la satisfacción de todos los términos y condiciones de la cubierta. La tecnología médica cambia constantemente y nos reservamos el derecho de revisar y actualizar nuestras políticas periódicamente.

ID Título Última Revisión Siguiente Revisión Descripción Acceso
01.001.020 Transcutaneous Electrical Nerve Stimulation Jan 07, 2025 Jan 20, 2026 Transcutaneous electrical nerve stimulation (tens) describes the application of electrical stimulation to the... Ver
01.001.027 Interferential Current Stimulation Jul 15, 2024 Jul 20, 2025 Interferential current stimulation (ifs) is a type of electrical stimulation used to reduce pain. the... Ver
02.001.015 Paraspinal Surface Electromyography To Evaluate And Monitor Back Pain Jul 15, 2024 Jul 20, 2025 A noninvasive procedure that records the summation of muscle electrical activity, paraspinal surface... Ver
02.001.020 Endovascular Procedures For Intracranial Arterial Disease (Atherosclerosis And Aneurysms) May 19, 2025 May 20, 2026 Intracranial arterial disease includes thromboembolic events, vascular stenoses, and aneurysms. endovascular... Ver
02.001.026 Electromyography And Nerve Conduction Studies Sep 09, 2024 Jul 20, 2025 Electromyography (emg) and nerve conduction studies (ncs), also collectively known as an electrodiagnostic... Ver
02.001.031 Biofeedback As A Treatment Of Chronic Pain Dec 09, 2024 Dec 20, 2025 Biofeedback is a technique intended to teach patients self-regulation of certain physiologic processes not... Ver
02.001.077 Epidural Steroid Injections For Neck Or Back Pain Dec 20, 2024 Dec 20, 2025 Epidural steroid injections (esis) are a treatment for neck or back pain that has not responded to... Ver
02.001.087 Low-Dose Radiotherapy for Non-Oncologic Indications Nov 19, 2024 Nov 20, 2025 Or (95% ci): 3 mos: 0.69 (0.22 to 2.17) 6 mos: 0.57 (0.18 to 1.81) 12 mos: 1.23 (0.37 to 4.12) mean treatment... Ver
02.001.106 High Intensity Laser Therapy for Chronic Pain Conditions Aug 09, 2024 Aug 20, 2025 High-intensity laser therapy (hilt) is a class iv therapeutic non-surgical laser device with a power output... Ver
02.002.018 Progenitor Cell Therapy For The Treatment Of Damaged Myocardium Due To Ischemia Jul 18, 2024 Policy Archived Progenitor cell therapy describes the use of multipotent cells of various cell lineages (autologous or... Ver
02.007.004 Somatosensory Evoked Potential Studies Visual/Auditory Nov 10, 2021 Policy Archived Evoked potentials are somatosensory stimuli, visual and/or auditory. the same, when applied activate... Ver
05.001.004 Botulinum Toxin Nov 04, 2024 Nov 20, 2025 ... Ver
05.001.015 Advanced Therapies For Pharmacologic Treatment Of Pulmonary Hypertension Dec 20, 2024 Dec 20, 2025 Pulmonary hypertension (ph) is a chronic, progressive condition characterized by abnormally high pulmonary... Ver
06.001.039 Dynamic Spinal Visualization And Vertebral Motion Analysis Oct 08, 2024 Policy Archived Dynamic spinal visualization is a general term addressing different imaging technologies that simultaneously... Ver
06.001.045 Positional Magnetic Resonance Imaging Dec 14, 2023 Policy Archived Positional magnetic resonance imaging (mri) permits imaging of a patient in various positions, including... Ver
06.001.050 Duplex Sanning Nov 14, 2019 Policy Archived A duplex scanning is a procedure of tracking by ultrasound that demonstrates the structures in two dimensions... Ver
06.001.061 Diagnosis And Treatment Of Sacroiliac Joint Pain Dec 09, 2024 Dec 20, 2025 Sacroiliac joint (sij) arthrography using fluoroscopic guidance with an injection of an anesthetic has been... Ver
07.001.009 Computer-Assisted Navigation For Orthopedic Procedure May 07, 2025 May 20, 2026 Computer-assisted navigation in orthopedic procedures describes the use of computer-enabled tracking systems... Ver
07.001.014 Reduction Mammaplasty For Breast-Related Symptoms Mar 12, 2025 Mar 20, 2026 Macromastia, or gigantomastia, is a condition that describes breast hyperplasia or hypertrophy. macromastia... Ver
07.001.029 Spinal Cord And Dorsal Root Ganglion Stimulation May 19, 2025 May 20, 2026 Spinal cord stimulation delivers low-voltage electrical stimulation to the dorsal columns of the spinal cord... Ver
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