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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
07.001.112 Ablation Of Peripheral Nerves To Treat Pain Oct 10, 2024 Oct 20, 2025 Radiofrequency ablation (rfa) and cryoneurolysis of nerves have been proposed as treatments for several... Ver
07.001.114 Bioengineered Skin And Soft Tissue Substitutes Dec 12, 2024 May 20, 2025 Bioengineered skin and soft tissue substitutes may be derived from human tissue (autologous or allogeneic),... Ver
07.001.115 Vertical Expandable Prosthetic Titanium Rib May 20, 2024 May 20, 2025 The vertical expandable prosthetic titanium rib is a curved rod placed vertically in the chest to help shape... Ver
07.001.116 Routine Care Services Of The Foot Nov 09, 2022 Policy Archived Routine foot care is defined as any service that treats preventively medical conditions with foot involvement... Ver
07.001.117 Minimally Invasive Ablation Procedures for Morton and Other Peripheral Neuromas Jul 18, 2024 Jul 20, 2025 Morton neuroma is a common and painful compression neuropathy of the dorsal foot that is also referred to as... Ver
07.001.118 Percutaneous Electrical Nerve Stimulation And Pecutaneous Neuromodulation Therapy Jul 17, 2024 Jul 20, 2025 Percutaneous electrical nerve stimulation (pens), percutaneous neuromodulation therapy (pnt), and restorative... Ver
07.001.119 Surgical Treatments For Breast Cancer-Related Lymphedema Oct 10, 2024 Oct 20, 2025 Surgery and radiotherapy for breast cancer can lead to lymphedema and are some of the most common causes of... Ver
07.001.120 Facet Arthroplasty May 16, 2024 May 20, 2025 Facet arthroplasty refers to the implantation of a spinal prosthesis to restore posterior element structure... Ver
07.001.121 Absorbable Nasal Implant For Treatment Of Nasal Valve Collapse Nov 14, 2024 Nov 20, 2025 Nasal valve collapse (nvc) is a readily identifiable cause of nasal obstruction. specifically, the internal... Ver
07.001.122 Adipose-Derived Stem Cells In Autologous Fat Grafting To The Breast Feb 13, 2025 Feb 20, 2026 Summary following a mastectomy, patients often experience pain and irradiated skin; as an adjunct to... Ver
07.001.123 Hydrogel Spacer Use During Radiotherapy For Prostate Cancer Oct 24, 2024 Oct 24, 2025 For low- or intermediate-risk prostate cancer, radiation therapy is an option. because the rectum lies in... Ver
07.001.124 Semi-Implantable And Fully Implantable Middle Ear Hearing Aids Mar 03, 2025 Mar 20, 2026 Moderate-to-severe sensorineural hearing loss is often treated with external acoustic hearing aids, while... Ver
07.001.125 Surgical Deactivation Of Headache Trigger Sites Mar 03, 2025 Mar 20, 2026 Migraine is a common headache disorder that is treated using various medications, which can be taken at the... Ver
07.001.126 Handheld Radiofrequency Spectroscopy For Intraoperative Assessment Of Surgical Margins During Breast-Conserving Surgery Mar 03, 2025 Mar 20, 2026 As part of the treatment of localized breast cancer, breast-conserving surgery is optimally achieved by... Ver
07.001.127 Surgery For Groin Pain In Athletes Mar 03, 2025 Mar 20, 2026 Sports-related groin pain, commonly known as athletic pubalgia or sports hernia, is characterized by... Ver
07.001.128 Balloon Dilation Of The Eustachian Tube Oct 07, 2024 Oct 20, 2025 Eustachian tube dysfunction (etd) occurs when the functional valve of the eustachian tube fails to open... Ver
07.001.129 Synthetic Cartilage Implants For Joint Pain Aug 09, 2024 Aug 20, 2025 Articular cartilage damage, either from a focal lesion or diffuse osteoarthritis (oa), can result in... Ver
07.001.132 Rhinoplasty Nov 10, 2021 Policy Archived Rhinoplasty rhinoplasty is a procedure to correct congenital anatomical deformities acquired in the nostrils.... Ver
07.001.133 Radiofrequency Coblation Tenotomy For Musculoskeletal Conditions Jan 17, 2025 Jan 20, 2026 Radiofrequency (rf) coblation is being evaluated for the treatment of plantar fasciitis, lateral... Ver
07.001.134 Steroid-Eluting Sinus Stents Mar 03, 2025 Mar 20, 2026 Steroid-eluting sinus stents are devices used postoperatively following endoscopic sinus surgery (ess) or for... Ver

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