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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
07.003.012 Amniotic Membrane And Amniotic Fluid Apr 19, 2024 Apr 20, 2025 Several commercially available forms of human amniotic membrane (ham) and amniotic fluid can be administered... Ver
07.003.013 Composite Tissue Allotransplantation Of The Hand And Face Sep 12, 2024 Sep 20, 2025 Composite tissue allotransplantation (also referred to as vascularized composite allotransplantation) is... Ver
07.003.014 Kidney Transplant Sep 12, 2024 Sep 20, 2025 Kidney transplant, a treatment option for end-stage renal disease, involves the surgical removal of a kidney... Ver
07.004.001 Implantation Of Intrastromal Corneal Ring Segments Archived May 17, 2021 Policy Archived Intrastromal corneal ring segments (icrs) are composed of microthin soft plastic inserts of variable... Ver
07.004.002 Vascular Endothelial Growth Factor Inhibitors For The Treatment Of Ophthalmological Diseases Oct 24, 2024 Oct 20, 2025 Vascular endothelial growth factor has been implicated in the pathogenesis of a variety of ocular vascular... Ver
08.001.001 Physical Therapy In The Home Nov 11, 2020 Policy Archived Physical therapy is the treatment of an illness or injury with the use of therapeutic exercises or... Ver
08.001.002 Physical Therapy Services Feb 19, 2025 Policy Archived Physical therapy is the treatment of illness or physical damage through the use of therapeutic exercise,... Ver
08.001.003 Home Based Occupational Therapy Nov 11, 2020 Policy Archived ... Ver
08.001.004 Speech Therapy Nov 26, 2024 Policy Archived Developmental language disorder is the most common developmental disability of childhood, occurring in 5 to... Ver
08.001.005 Photodynamic Therapy For Choroidal Neovascularization May 06, 2024 Apr 20, 2025 Verteporfin photodynamic therapy is a treatment modality designed to selectively occlude ocular choroidal... Ver
08.001.006 Vertebral Axial Decompression May 20, 2024 May 20, 2025 Vertebral axial decompression applies traction to the vertebral column to reduce intradiscal pressure, and in... Ver
08.001.007 Dry Needling Of Myofascial Trigger Points May 20, 2024 May 20, 2025 Trigger points are discrete, focal, hyperirritable spots within a taut band of skeletal muscle fibers that... Ver
08.001.008 Oncologic Applications Of Photodynamic Therapy, Including Barrett Esophagus Aug 12, 2024 Aug 20, 2025 Photodynamic therapy (pdt; also called phototherapy, photoradiotherapy, photosensitizing therapy, or... Ver
08.001.009 Low-Level Laser Therapy Jul 19, 2024 Jul 20, 2025 Low-level laser therapy (lllt), also called photobiomodulation, is being evaluated to treat various... Ver
08.001.010 High-Dose Rate Temporary Prostate Brachytherapy Feb 13, 2025 Aug 20, 2025 High-dose rate (hdr) temporary prostate brachytherapy is a technique for delivering a high-intensity... Ver
08.001.011 Manipulation Under Anesthesia May 20, 2024 May 20, 2025 Manipulation under anesthesia consists of a series of mobilization, stretching, and traction procedures... Ver
08.001.012 Charged-Particle (Proton Or Helium Ion) Radiotherapy For Neoplastic Conditions Jun 10, 2024 Jun 20, 2025 Charged-particle beams consisting of protons or helium ions are a type of particulate radiotherapy. treatment... Ver
08.001.013 Terapia con interferón Jun 06, 2022 Policy Archived Interferon is one of about 20 naturally occurring proteins. three classes of interferons have been... Ver
08.001.014 Chelation Therapy For Off-Label Uses Mar 19, 2025 Mar 20, 2026 Chelation therapy, an established treatment for heavy metal toxicities and transfusional hemosiderosis, has... Ver
08.001.015 Inhaled Nitric Oxide Jun 11, 2024 Jun 20, 2025 Inhaled nitric oxide (ino) is a natural vasodilator and has been studied for a variety of types of... Ver

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