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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
07.001.168 Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation Sep 18, 2024 Sep 20, 2025 Atrial fibrillation (af) is the most common type of cardiac arrhythmia. stroke associated with af is... Ver
07.001.169 Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia Jan 08, 2025 Jan 20, 2026 Benign prostatic hyperplasia (bph) is a common condition in older individuals that can lead to increased... Ver
07.001.170 Lithotripsy for Salivary Stones Oct 24, 2024 Oct 20, 2025 The major salivary glands, parotid (front and behind the ear), submandibular (both sides of the jaw), and... Ver
07.001.171 Laser Surgery of the Prostate for Benign Prostatic Hypertrophy Oct 24, 2024 Oct 20, 2025 Benign prostatic hyperplasia (bph) is a common, noncancerous, and benign enlargement of the prostate gland.... Ver
07.001.172 Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis Nov 14, 2024 Nov 20, 2025 In the thumb, the most common site for arthritis to develop is in the joint at the base of the thumb, also... Ver
07.001.173 Fractional Laser Treatment of Burn and Traumatic Scars for Functional Improvement Feb 04, 2025 Feb 20, 2026 Hypertrophic scars and keloids are cutaneous lesions resulting from abnormal wound healing. there is no gold... Ver
07.001.174 Peripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve Allografts Apr 18, 2025 Apr 20, 2026 Peripheral nerve injuries are common traumatic events for which the conventional treatment is the... Ver
07.001.175 Intramedullary Limb-Lengthening Systems Oct 24, 2024 Oct 20, 2025 Intramedullary limb-lengthening systems (ills) have been introduced as an alternative to the circular... Ver
07.001.176 Irreversible Electroporation of Tumors Located in the Liver, Pancreas, Kidney, or Lung Dec 17, 2024 Dec 20, 2025 Irreversible electroporation produces high-frequency electric pulses to create an electric current that... Ver
07.001.177 Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction Mar 19, 2025 Mar 20, 2026 Nasal obstruction is defined clinically as a patient symptom that presents as a sensation of reduced or... Ver
07.001.178 Balloon Spacers for Treatment of Irreparable Rotator Cuffs of the Shoulder May 19, 2025 May 20, 2026 Subacromial balloon spacer implantation represents a minimally invasive treatment modality for massive... Ver
07.002.001 Intravenous Sedation Nov 20, 2019 Policy Archived Adequate sedation and analgesia are important parts of many diagnostic and therapeutic procedures. several... Ver
07.002.002 Monitored Anesthesia Care Dec 13, 2024 Dec 20, 2025 Adequate sedation and analgesia are important parts of many diagnostic and therapeutic procedures. various... Ver
07.002.003 Percutaneous Revascularization Procedures for Lower Extremity Peripheral Arterial Disease Nov 07, 2024 Nov 20, 2025 Revascularization (either surgical or percutaneous) is a treatment option for certain individuals with lower... Ver
07.003.002 Placental And Umbilical Cord Blood As A Source Of Stem Cells Mar 19, 2021 Policy Archived This evidence review addresses the collection, storage, and transplantation of placental and umbilical cord... Ver
07.003.003 Isolated Small Bowel Transplant Sep 18, 2024 Sep 20, 2025 A small bowel transplant may be performed as an isolated procedure or in conjunction with other visceral... Ver
07.003.005 Allogeneic Pancreas Transplant Sep 23, 2024 Sep 20, 2025 Transplantation of a healthy pancreas is a treatment for patients with insulin-dependent diabetes. pancreas... Ver
07.003.006 Liver Transplant And Combined Liver-Kidney Transplant Sep 20, 2024 Sep 20, 2025 Liver transplantation is currently the treatment of last resort for patients with end-stage liver disease.... Ver
07.003.007 Heart Transplant Sep 23, 2024 Sep 20, 2025 A heart transplant and a retransplant consist of replacing a diseased heart with a healthy donor heart.... Ver
07.003.008 Lung And Lobar Lung Transplant Sep 20, 2024 Sep 20, 2025 A lung transplant consists of replacing all or part of diseased lungs with healthy lung(s) or lobes.... Ver
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