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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
08.001.016 Extracorporeal Photopheresis Nov 15, 2024 Nov 20, 2025 Extracorporeal photopheresis (ecp) is a leukapheresis-based immunomodulatory procedure that involves the... Ver
08.001.017 Accelerated Breast Irradiation And Brachytherapy Boost After Breast-Conserving Surgery For Early-Stage Breast Cancer Aug 19, 2024 Aug 20, 2025 Radiotherapy is the standard of care for patients with breast cancer undergoing breast-conserving surgery... Ver
08.001.019 Measurement Of Exhaled Nitric Oxide And Exhaled Breath Condensate In The Diagnosis And Management Of Respiratory Disorders Jul 16, 2024 Jul 20, 2025 Evaluation of exhaled nitric oxide (no) and exhaled breath condensate (ebc) are proposed as techniques to... Ver
08.001.020 Neutron Beam Radiotherapy May 10, 2019 Policy Archived Neutron beam therapy is a form of radiotherapy that is used primarily for the treatment of unresectable or... Ver
08.001.021 Scintimammography And Gamma Imaging Of The Breast And Axilla Oct 22, 2024 Oct 20, 2025 Scintimammography, breast-specific gamma imaging (bsgi), and molecular breast imaging (mbi) use radiotracers... Ver
08.001.022 Intracavitary Balloon Catheter Brain Brachytherapy For Malignant Gliomas Or Metastasis To The Brain Aug 09, 2024 Aug 20, 2025 Intracavitary balloon catheter brain brachytherapy is an approach to localized radiotherapy using liquid... Ver
08.001.023 Erwinaze Nov 10, 2021 Policy Archived Asparagine is an amino acid essential for cell growth. it occurs in most cells. the neoplastic cells present... Ver
08.001.024 Correcion de los Trastornos de la refracción May 22, 2017 Policy Archived ... Ver
08.001.025 Adoptive Immunotherapy Nov 12, 2024 Nov 20, 2025 The spontaneous regression of certain cancers (eg, renal cell carcinoma, melanoma) supports the idea that a... Ver
08.001.027 Cellular Immunotherapy For Prostate Cancer Aug 23, 2024 Aug 20, 2025 Sipuleucel-t (provenge) is a class of therapeutic agent used to treat asymptomatic-or minimally... Ver
08.001.028 Lysis Of Epidural Adhesions Dec 29, 2020 Policy Archived Lysis of epidural adhesions involves passing a catheter, either endoscopically or percutaneously, under... Ver
08.001.029 Pneumatic Compression Pumps Treatment Of Lymphedema And Venous Ulcers Feb 19, 2025 Feb 20, 2026 Pneumatic compression pumps are proposed as a treatment for patients with lymphedema who have failed... Ver
08.001.030 Occupational Therapy Jan 29, 2020 Policy Archived Occupational therapy is defined as that therapy which promotes the restoration of the ability of a person... Ver
08.001.031 Chemical Peels Jan 15, 2025 Jan 20, 2026 A chemical peel is a controlled removal of various layers of the skin with the use of a chemical agent. the... Ver
08.001.033 Hematopoietic Cell Transplantation For Plasma Cell Dyscrasias, Including Multiple Myeloma And Poems Syndrome Feb 05, 2025 Feb 20, 2026 Multiple myeloma (mm) is a systemic malignancy of plasma cells that represents approximately 10% of all... Ver
08.001.034 Dysphagia Therapy Oct 24, 2024 Oct 20, 2025 Dysphagia, therapy to swallow, is a medical treatment indicated to improve or restore the functions of... Ver
08.001.035 Aquatic Therapy Sep 10, 2024 Policy Archived Aquatic therapy is a therapeutic intervention in which the aquatic environment provides flotation increase in... Ver
08.001.036 Hematopoietic Cell Transplantation For Chronic Myeloid Leukemia Feb 17, 2025 Feb 20, 2026 Chronic myeloid leukemia (cml) is a hematopoietic stem cell disorder characterized by the presence of a... Ver
08.001.037 Hematopoietic Cell Transplantation For Hodgkin Lymphoma Feb 17, 2025 Feb 20, 2026 Hodgkin lymphoma (hl) results from a clonal expansion of a b-cell lineage, characterized by the presence of... Ver
08.001.038 Radio 223 Injection (Xofigo) Nov 10, 2021 Policy Archived Approximately 240,000 men in the united states are expected to be diagnosed with prostate cancer in 2016.... Ver

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