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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 |
|---|---|---|---|---|---|
| 06.001.040 | Magnetoencephalography/Magnetic Source Imaging | Oct 13, 2021 | Policy Archived | Magnetoencephalography/magnetic source imaging as part of the preoperative evaluation of patients with... | Ver |
| 06.001.041 | Interim Positron Emission Tomography Scanning in Oncology to Detect Early Response During Treatment | Oct 08, 2024 | Oct 20, 2025 | The use of interim fluorine 18 fluorodeoxyglucose positron emission tomography scans to determine response to... | Ver |
| 06.001.042 | Positron Emission Mammography | Nov 05, 2020 | Policy Archived | The use of positron emission mammography is considered investigational for all... | Ver |
| 06.001.043 | Cardiac Applications of Positron Emission Tomography Scanning | Oct 09, 2024 | Oct 20, 2025 | Cardiac positron emission tomography (pet) scanning may be considered medically necessary to assess... | Ver |
| 06.001.045 | Positional Magnetic Resonance Imaging | Dec 14, 2023 | Policy Archived | Positional (nonrecumbent) magnetic resonance imaging is considered investigational, including its use in the... | Ver |
| 06.001.046 | Optical Coherence Tomography of the Anterior Eye Segment | Apr 05, 2024 | Apr 20, 2025 | Scanning computerized ophthalmic (eg, optical coherence tomography) imaging of the anterior eye segment is... | Ver |
| 06.001.047 | NON-INVASIVE ARTERIAL VASCULAR STUDIES OF UPPER AND LOWER EXTREMITIES | Oct 14, 2022 | Policy Archived | To perform a duplex scanning it is necessary to perform a real time scan, therefore the billing of a duplex... | Ver |
| 06.001.048 | NON INVASIVE EVALUATION OF EXTRACRANIAL ARTERIES | Jan 13, 2025 | Policy Archived | Non-invasive studies are recognized for payment if the results impact the clinical course of the patient, for... | Ver |
| 06.001.049 | NON INVASIVE VASCULAR STUDIES UPPER AND LOWER EXTREMITIES | Nov 14, 2018 | Policy Archived | To perform a duplex scanning sweep is needed in real time, therefore the billing of a duplex scanning and... | Ver |
| 06.001.050 | Duplex Sanning | Nov 14, 2019 | Policy Archived | The duplex scanning in the evaluation of the arterial / venous flow of abdominal, pelvic organs and of the... | Ver |
| 06.001.051 | Digital Breast Tomosynthesis | Nov 09, 2020 | Policy Archived | Digital breast tomosynthesis (dbt) uses modified digital mammography (dm) equipment to obtain additional... | Ver |
| 06.001.053 | Selected Positron Emission Tomography Technologies for Evaluation of Alzheimer Disease | Aug 09, 2024 | Jun 20, 2025 | Amyloid beta imaging with positron emission tomography (pet) to predict conversion to alzheimer disease is... | Ver |
| 06.001.057 | INTENSITY MODULATED RADIATION THERAPY (IMRT) | Oct 24, 2024 | Oct 20, 2025 | Imrt is considered reasonable and medically necessary in instances where sparing the surrounding normal... | Ver |
| 06.001.059 | Dopamine Transporter Single-Photon Emission Computed Tomography | Nov 12, 2024 | Nov 20, 2025 | Dopamine transporter imaging with single-photon emission computed tomography may be considered medically... | Ver |
| 06.001.060 | Endobronchial Ultrasound for Diagnosis and Staging of Lung Cancer | Oct 22, 2024 | Oct 20, 2025 | Endobronchial ultrasound-guided transbronchial needle aspiration (ebus-tbna) may be considered medically... | Ver |
| 06.001.061 | Diagnosis and Treatment of Sacroiliac Joint Pain | Dec 09, 2024 | Dec 20, 2025 | Arthrography of the sacroiliac joint (sij) is considered investigational. injection of anesthetic for... | Ver |
| 06.001.062 | Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow Reserve | Jun 18, 2024 | Jun 20, 2025 | The use of noninvasive fractional flow reserve following a positive coronary computed tomography angiography... | Ver |
| 06.001.063 | Therapeutic Radiopharmaceuticals in Oncology | Nov 07, 2024 | Nov 20, 2025 | Radiopharmaceuticals are composed of a radioisotope bond to an organic molecule and are used for diagnostic... | Ver |
| 06.001.064 | Thermography | Dec 03, 2024 | Policy Archived | Thermography is a noninvasive imaging technique that measures temperature distribution in organs and tissues.... | Ver |
| 06.001.068 | Myocardial Sympathetic Innervation Imaging in Patients With Heart Failure | Oct 09, 2024 | Oct 20, 2025 | Myocardial sympathetic innervation imaging with iodine 123 meta-iodobenzylguanidine is considered... | Ver |
