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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
07.001.064 Transanal Endoscopic Microsurgery Dec 04, 2024 Dec 20, 2025 Transanal endoscopic microsurgery (tem) is a minimally invasive approach for local excision of rectal lesions... Ver
07.001.065 Artificial Intervertebral Disc: Lumbar Spine May 07, 2025 May 20, 2026 Total disc replacement, using an artificial intervertebral disc designed for the lumbar spine, is proposed as... Ver
07.001.066 Risk-Reducing Mastectomy Oct 07, 2024 Aug 20, 2025 Risk-reducing mastectomy is defined as the removal of the breast in the absence of malignant disease to... Ver
07.001.067 Nerve Graft With Radical Prostatectomy Jun 06, 2025 Policy Archived Nerve grafting at the time of radical prostatectomy, most commonly using the sural nerve, has been proposed... Ver
07.001.069 Isolated Limb Perfusion/Infision for Malignant Melanoma Apr 15, 2019 Policy Archived Isolated limb perfusion (ilp) when used as a therapeutic treatment of local recurrence of nonresectable... Ver
07.001.070 Tonsilectomia Asistida por Láser May 16, 2016 Policy Archived ... Ver
07.001.071 Radiofrequency Ablation Of Miscellaneous Solid Tumors Excluding Liver Tumors Jan 08, 2025 Oct 20, 2025 In radiofrequency ablation (rfa), a probe is inserted into the center of a tumor; then, prong-shaped,... Ver
07.001.072 Axial Lumbosacral Interbody Fusion May 07, 2025 May 20, 2026 Axial lumbosacral interbody fusion (also called presacral, transsacral, or paracoccygeal interbody fusion) is... Ver
07.001.073 Interspinous And Interlaminar Stabilization/Distraction Devices (Spacers) May 08, 2025 May 20, 2026 Interspinous and interlaminar implants (spacers) stabilize or distract the adjacent lamina and/or spinous... Ver
07.001.074 Facet Joint Denervation Dec 04, 2024 Dec 20, 2025 Facet denervation is used to treat neck and back pain originating in facet joints with degenerative changes.... Ver
07.001.075 Extracranial Carotid Artery Stenting Jun 06, 2025 Jun 20, 2026 Carotid artery angioplasty with stenting and transcarotid artery revascularization are treatments for carotid... Ver
07.001.076 Saturation Biopsy For Diagnosis, Staging, And Management Of Prostate Cancer Aug 12, 2024 Aug 20, 2025 Saturation biopsy of the prostate, in which more cores are obtained than by standard biopsy protocol, has... Ver
07.001.077 Plugs For Anal Fistula Repair Dec 12, 2024 Dec 20, 2025 Anal fistula plugs (afps) are biosynthetic devices used to promote healing and prevent the recurrence of anal... Ver
07.001.079 Occipital Nerve Stimulation Jun 13, 2025 May 20, 2026 Occipital nerve stimulation delivers a small electrical charge to the occipital nerve intended to prevent... Ver
07.001.080 Surgical Treatment Of Femoroacetabular Impingement May 09, 2025 May 20, 2026 Femoroacetabular impingement results from localized compression within the joint as a result of an anatomic... Ver
07.001.081 Laser Treatment Of Wine Stains Aug 24, 2022 Policy Archived Studies have generally found that laser treatment can be effective at lightening port wine stains. the... Ver
07.001.082 Bronchial Valves Jul 18, 2024 Jul 20, 2025 Bronchial valves are synthetic devices deployed with bronchoscopy into ventilatory airways of the lung to... Ver
07.001.083 Surgery Of Paranasal Sinuses Guided By Images Nov 11, 2020 Policy Archived Surgery guided by images is a system of three-dimensional mapping that combines computerized tomography and... Ver
07.001.084 Fusion Vertebral Lumbar minimamente Invasiva Aug 22, 2017 Policy Archived ... Ver
07.001.085 Autologous Fat Grafting To The Breast And Adipose-Derived Stem Cells Oct 26, 2020 Policy Archived Autologous fat grafting to the breast has been used as an adjunct to reconstructive breast surgery, for... Ver
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