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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
08.001.006 Vertebral Axial Decompression May 12, 2025 May 20, 2026 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 19, 2025 May 20, 2026 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 18, 2025 Aug 20, 2026 Photodynamic therapy (pdt; also called phototherapy, photoradiotherapy, photosensitizing therapy, or... Ver
08.001.009 Low-Level Laser Therapy Jul 15, 2025 Jul 20, 2026 Low-level laser therapy (lllt), also called photobiomodulation, is being evaluated to treat various... Ver
08.001.010 High-Dose Rate Temporary Prostate Brachytherapy Jan 14, 2026 Jan 20, 2027 High-dose rate (hdr) temporary prostate brachytherapy is a technique for delivering a high-intensity... Ver
08.001.011 Manipulation Under Anesthesia May 19, 2025 May 20, 2026 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 06, 2025 Jun 20, 2026 Charged-particle beams consisting of protons or helium ions are a type of particulate radiotherapy. treatment... Ver
08.001.013 Terapia con interferón Jul 23, 2025 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 Jul 23, 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 09, 2025 Jun 20, 2026 Inhaled nitric oxide (ino) is a natural vasodilator and has been studied for a variety of types of... Ver
08.001.016 Extracorporeal Photopheresis Nov 11, 2025 Nov 20, 2026 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 18, 2025 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 Nov 05, 2025 Nov 20, 2026 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 17, 2025 Oct 20, 2026 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 Sep 05, 2025 Policy Archived 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 Oct 16, 2025 Oct 20, 2026 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 18, 2025 Aug 20, 2026 Sipuleucel-t (provenge) is a therapeutic agent used to treat asymptomatic or minimally symptomatic,... Ver
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