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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
06.001.070 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 22, 2024 Aug 20, 2025 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 26, 2024 Dec 20, 2025 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 17, 2024 May 20, 2025 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 09, 2024 Aug 20, 2025 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 Sep 23, 2024 Jul 20, 2025 Thoracic endovascular aortic repair (tevar) involves the percutaneous placement of a stent graft in the... Ver
07.001.009 Computer-Assisted Navigation For Orthopedic Procedure May 17, 2024 May 20, 2025 Computer-assisted navigation in orthopedic procedures describes the use of computer-enabled tracking systems... Ver
07.001.010 Artroplastía de cadera por método mínimamente invasivo May 16, 2016 Policy Archived ... Ver
07.001.011 Transurethral Water Vapor Thermal Therapy For Benign Prostatic Hyperplasia Jul 16, 2024 Jul 20, 2025 Transurethral water vapor thermal therapy and transurethral waterjet ablation (aquablation) have been... Ver
07.001.012 Whole Gland Cryoablation Of Prostate Cancer Oct 15, 2024 Policy Archived Cryoablation, also known as cryotherapy or cryosurgery, is a procedure that attacks cancer cells using... Ver
07.001.013 Treatment Of Varicose Veins/Venous Insufficiency Jun 07, 2024 Jun 20, 2025 A variety of treatment modalities are available to treat varicose veins/venous insufficiency, including... 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
07.001.015 Reconstructive Breast Surgery/Management Of Breast Implants After Mastectomy Jul 10, 2024 Jul 20, 2025 Reconstructive breast surgery is defined as a surgical procedure that is designed to restore the normal... Ver
07.001.016 Stereotactic, Ultrasound Guided Breast Biopsy (Mibb) Oct 24, 2024 Oct 20, 2025 Minimally invasive breast biopsy (mibb) is a breast biopsy that is done with a needle to obtain a diagnosis... Ver

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