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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 |
|---|---|---|---|---|---|
| 06.001.003 | BIOPSIA DE MAMA DIRIGIDA POR MRI | May 10, 2016 | Policy Archived | La biopsia de mama asistida por vacío y guiada con mri se considera para pago bajo las siguientes... | Ver |
| 06.001.004 | Magnetic Resonance Angiography (MRA) of the Chest (excluding the heart) | Jul 11, 2023 | Policy Archived | Mra of the chest may be considered medically necessary in patients with the following indications in whom... | Ver |
| 06.001.005 | Bone Mineral Density Studies | Oct 02, 2023 | Oct 20, 2024 | Initial or repeat bone mineral density (bmd) measurement is not indicated unless the results will influence... | Ver |
| 06.001.006 | Screening and Diagnostic Mammography | Sep 07, 2023 | Policy Archived | Screening mammogram a screening mammography is a radiologic procedure furnished to a woman without signs... | Ver |
| 06.001.007 | Magnetic Resonance Spectroscopy | Nov 15, 2023 | Nov 20, 2024 | Magnetic resonance spectroscopy is considered... | Ver |
| 06.001.009 | Low-Osmolarity Radiocontrast Agents non ionic | Nov 11, 2020 | Policy Archived | Low osmolality contrast medium is considered medically necessary in patients with high risk of severe... | Ver |
| 06.001.010 | Magnetic Resonance Imaging for Detection and Diagnosis of Breast Cancer | Oct 18, 2023 | Oct 20, 2024 | All policy statements below refer to performing magnetic resonance imaging (mri) of the breast with contrast... | Ver |
| 06.001.011 | Miscellaneous (Noncardiac, Nononcologic) Applications of Fluorine 18 Fluorodeoxyglucose Positron Emission Tomography | Nov 13, 2023 | Nov 20, 2024 | Positron emission tomography (pet) using 2-[fluorine-18]-fluoro-2-deoxy-d-glucose (fdg) may be considered... | Ver |
| 06.001.014 | Oncologic Applications of Positron Emission Tomography Scanning | Oct 20, 2023 | Oct 20, 2024 | Positron emission tomography (pet) scans are based on the use of positron-emitting radionuclide tracers... | Ver |
| 06.001.015 | Stereotactic Radiosurgery and Stereotactic Body Radiotherapy | Aug 09, 2023 | Aug 20, 2024 | Stereotactic radiosurgery using a gamma-ray or linear accelerator unit may be considered medically necessary... | Ver |
| 06.001.016 | Brachytherapy for Clinically Localized Prostate Cancer Using Permanently Implanted Seeds | Aug 16, 2023 | Aug 20, 2024 | Brachytherapy using permanent transperineal implantation of radioactive seeds may be considered medically... | Ver |
| 06.001.018 | Minimally Invasive Approaches to Vertebral Fractures and Osteolytic Lesions of the Spine | May 10, 2024 | May 20, 2025 | Percutaneous vertebroplasty may be considered medically necessary for the treatment of symptomatic... | Ver |
| 06.001.020 | Virtual Colonoscopy/Computed Tomography Colonography | Oct 02, 2023 | Oct 20, 2024 | Computed tomography colonography (ctc) may be considered medically necessary for the purposes of colon... | Ver |
| 06.001.021 | Computer-Aided detection in Conjuction with Digitized Screen-Film Mammography or Ful-Field Digital Mammography | Dec 16, 2019 | Policy Archived | Computer-aided detection devices as an adjunct to single-reader interpretation of digitized screen-film... | Ver |
| 06.001.022 | Intravascular Ultrasound Imaging of Coronary Arteries | Aug 31, 2023 | Policy Archived | The use of ivus in transcatheter revascularization therapy of coronary artery disease may be considered... | Ver |
| 06.001.023 | Magnetic Resonance Angiography of Vessels of the Head, Neck,Abdomen, Pelvis, and Lower Extremity | Jul 19, 2022 | Policy Archived | Mra of the head may be considered medically necessary for the assessment of: ï· patients suspected of... | Ver |
| 06.001.024 | Magnetic Resonance Cholangiopancreatography | Sep 02, 2019 | Policy Archived | Magnetic resonance cholangiopancreatography (mrcp) may be considered medically necessary for diagnostic... | Ver |
| 06.001.025 | TOMOGRAFIA COMPUTADORIZADA DEL CUERPO ENTERO COMO METODO DE CERNIMIENTO | May 16, 2016 | Policy Archived | Tomografía computadorizada de cuerpo entero cómo un método de cernimiento no se considera para pago. el... | Ver |
| 06.001.026 | Contrast-Enhanced Computed Tomographic Angiography for Coronary Artery Evaluation | Oct 03, 2023 | Oct 20, 2024 | Contrast-enhanced coronary computed tomography angiography (ccta) for evaluation of individuals with acute... | Ver |
| 06.001.027 | Vertebral Fracture Assessment with Densitometry | Oct 17, 2023 | Oct 20, 2024 | Screening for vertebral fractures using dual-energy x-ray absorptiometry is... | Ver |
