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 |
|---|---|---|---|---|---|
| 06.001.059 | Dopamine Transporter Single-Photon Emission Computed Tomography | Nov 05, 2025 | Nov 20, 2026 | Dopamine transporter imaging with single-photon emission computed tomography (dat-spect), using... | Ver |
| 06.001.060 | Endobronchial Ultrasound For Diagnosis And Staging Of Lung Cancer | Jan 23, 2026 | Oct 20, 2026 | Endobronchial ultrasound (ebus) is an imaging technique for adjunctive use with standard flexible... | Ver |
| 06.001.061 | Diagnosis And Treatment Of Sacroiliac Joint Pain | Dec 04, 2025 | Dec 20, 2026 | Sacroiliac joint (sij) arthrography using fluoroscopic guidance with an injection of an anesthetic has been... | Ver |
| 06.001.062 | Coronary Computed Tomography Angiography With Selective Noninvasive Fractional Flow Reserve | Jun 19, 2025 | Jun 20, 2026 | Invasive coronary angiography (ica) is clinically useful in stable ischemic heart disease when there is... | Ver |
| 06.001.063 | Therapeutic Radiopharmaceuticals In Oncology | Jan 08, 2026 | Jan 20, 2027 | 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 22, 2025 | Oct 20, 2026 | In individuals with heart failure, activation of the sympathetic nervous system is an early response to... | Ver |
| 06.001.069 | Whole Body Dual X-Ray Absorptiometry To Determine Body Composition | Oct 08, 2025 | Oct 20, 2026 | Using low-dose x-rays of 2 different energy levels, whole-body dual-energy x-ray absorptiometry (dxa)... | Ver |
| 06.001.070 | Magnetic Resonance Imaging To Monitor The Integrity Of Silicone Gel-Filled Breast Implants | Feb 25, 2025 | Policy Archived | This evidence review addresses the use of magnetic resonance imaging (mri) to monitor the integrity of... | Ver |
| 06.001.076 | Radioimmunoscintigraphy (Monoclonal Antibody Imaging) With Indium 111 Capromab Pendetide For Prostate Cancer | Nov 10, 2020 | Policy Archived | Radioimmunoscintigraphy (ris) involves the administration of radiolabeled monoclonal antibodies, which are... | Ver |
| 06.001.077 | Radioembolization For Primary And Mestastatic Tumors Of The Liver | Aug 18, 2025 | Aug 20, 2026 | Radioembolization (re), also referred to as selective internal radiotherapy, delivers small beads... | Ver |
| 06.001.078 | Adjunctive Techniques For Screening And Surveillance Of Barrett Esophagus And Esophageal Dysplasia | Dec 08, 2025 | Dec 20, 2026 | Several adjunctive technologies and tests are available for screening, surveillance, and risk stratification... | Ver |
| 07.001.001 | Insulin Pump | Nov 14, 2018 | Policy Archived | Since early in the 1970s, there was evidence that supported the theory that firm control of diabetes... | Ver |
| 07.001.002 | Implantable Infusion Pump For Pain And Spasticity | Mar 11, 2020 | Policy Archived | Implantable infusion pumps can provide long-term drug infusion at constant or variable rates; several devices... | Ver |
| 07.001.003 | Breast Duct Endoscopy | May 07, 2019 | Policy Archived | Breast duct endoscopy is a technique that provides for direct visual examination of the breast ducts through... | Ver |
| 07.001.004 | VALVULOPLASTIA PERCUTANEA | Dec 20, 2023 | Policy Archived | Percutaneous balloon valvuloplasty is a method of treating stenotic pulmonary, mitral, and aortic valves... | Ver |
| 07.001.005 | Decompression Of The Intervertebral Disc Using Laser Energy (Laser Discectomy) Or Radiofrequency Coblation (Nucleoplasty) | May 19, 2025 | May 20, 2026 | Laser energy (laser discectomy) and radiofrequency coblation (nucleoplasty) are being evaluated for... | Ver |
| 07.001.006 | Cryoablation Of Tumors Located In The Kidney, Lung, Breast, Pancreas, Or Bone | Aug 13, 2025 | Aug 20, 2026 | Cryosurgical ablation (hereafter referred to as cryosurgery or cryoablation) involves freezing of target... | Ver |
| 07.001.007 | Gastric Electrical Stimulation | Mar 04, 2025 | Mar 20, 2026 | Gastric electrical stimulation (ges) is performed using an implantable device designed to treat chronic... | Ver |
| 07.001.008 | Endovascular Stent Grafts For Disorders Of The Thoracic Aorta | Jan 13, 2026 | Jan 20, 2027 | Thoracic endovascular aortic repair (tevar) involves the percutaneous placement of a stent graft in the... | Ver |
