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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
07.001.039 Meniscal Allografts And Other Meniscal Implants May 06, 2025 May 20, 2026 Meniscal allografts and other meniscal implants (eg, collagen) are intended to improve symptoms and reduce... Ver
07.001.040 Cirugia reconstructiva post cirugia baríatrica Jun 26, 2023 Policy Archived Morbid obesity is defined as an increase in body weight above an optimal level resulting in significant... Ver
07.001.041 Cochlear Implant Mar 04, 2025 Mar 20, 2026 A cochlear implant is a device for treatment of severe-to-profound hearing loss in individuals who only... Ver
07.001.042 Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, And Biacuplasty May 06, 2025 May 20, 2026 Electrothermal intradiscal annuloplasty therapies use radiofrequency energy sources to treat discogenic low... Ver
07.001.043 Autografts And Allografts In The Treatment Of Focal Articular Cartilage Lesions May 08, 2025 May 20, 2026 Osteochondral grafts are used to repair full-thickness chondral defects involving a joint. in the case of... Ver
07.001.044 Implantable Bone-Conduction And Bone-Anchored Hearing Aids Mar 19, 2025 Mar 20, 2026 Sensorineural, conductive, and mixed hearing loss may be treated with various devices, including conventional... Ver
07.001.045 Surgical Ventricular Restoration Mar 05, 2025 Mar 20, 2026 Surgical ventricular restoration is designed to restore or remodel the left ventricle to its normal,... Ver
07.001.047 Cirugía robótica May 10, 2016 Policy Archived ... Ver
07.001.048 Intraoperative Neurophysiologic Monitoring May 06, 2025 May 20, 2026 Intraoperative neurophysiologic monitoring describes a variety of procedures used to monitor the integrity of... Ver
07.001.049 Percutaneous Nephrostolithotomy And Lithetripsy For Kidney Stones Sep 05, 2019 Policy Archived Percutaneous nephrostolithotomy (pcn) is an invasive procedure for removing upper urinary tract stones by... Ver
07.001.050 Implantable Cardioverter Defibrillators Jun 06, 2025 Jun 20, 2026 An implantable cardioverter defibrillator (icd) is a device designed to monitor a patient's heart rate,... Ver
07.001.051 Balloon Ostial Dilation For Treatment Of Chronic Rhinosinusitis Mar 05, 2025 Mar 20, 2026 Balloon ostial dilation (bod, also known as balloon sinuplasty) is proposed as an alternative to functional... Ver
07.001.052 Percutaneous Tibial Nerve Stimulation Jun 06, 2025 Jun 20, 2026 Percutaneous tibial nerve stimulation (ptns; also known as posterior tibial nerve stimulation) is an... Ver
07.001.053 Auditory Brainstem Implant Mar 10, 2025 Mar 20, 2026 An auditory brainstem implant (abi) is designed to restore some hearing in people with neurofibromatosis type... Ver
07.001.054 Periureteral Bulking Agents As A Treatment Of Vesicoureteral Reflux Sep 11, 2024 Sep 20, 2025 Most commonly seen in children, vesicoureteral reflux (vur) is the retrograde flow of urine from the bladder... Ver
07.001.055 Thermal Capsulorrhaphy As A Treatment Of Joint Instability Apr 29, 2019 Policy Archived Thermal capsulorrhaphy uses thermal energy to restructure collagen in the capsule or ligaments to reduce the... Ver
07.001.056 Transmyocardial Revascularization Mar 19, 2025 Mar 20, 2026 Transmyocardial revascularization (tmr), also known as transmyocardial laser revascularization, is a surgical... Ver
07.001.058 Artificial Intervertebral Disc: Cervical Spine May 19, 2025 May 20, 2026 Several prosthetic devices are currently available for cervical disc arthroplasty. cervical disc arthroplasty... Ver
07.001.060 Radiofrequency Ablation Of Primary Or Metastatic Liver Tumors Aug 12, 2024 Aug 20, 2025 Radiofrequency ablation (rfa) is a procedure in which a probe is inserted into the center of a tumor and... Ver
07.001.061 Wireless Pressure Sensors In Endovascular Aneurysm Repair May 08, 2019 Policy Archived Wireless sensors implanted in an aortic aneurysm sac after endovascular repair are being investigated to... Ver
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