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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
08.001.028 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 Compression Pumps Treatment of lymphedema and Venous Ulcers Aug 18, 2025 NA Compression pumps are proposed as a treatment for patients with lymphedema who have failed conservative... 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 13, 2026 Jan 20, 2027 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 Sep 25, 2025 Sep 20, 2026 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
08.001.039 Extracorporeal Membrane Oxygenation For Adult Conditions Jun 09, 2025 Jun 20, 2026 Extracorporeal membrane oxygenation (ecmo) provides extracorporeal circulation and physiologic gas exchange... Ver
08.001.040 Diagnosis And Treatment Of Chronic Cerebrospinal Venous Insufficiency In Multiple Sclerosis Dec 16, 2019 Policy Archived Chronic cerebrospinal venous insufficiency (ccsvi) may be associated with multiple sclerosis (ms), although... Ver
08.001.041 Applicatiion Of Fluoride (Varnish) Nov 14, 2019 Policy Archived Many oral health problems, including dental caries, malocclusion, and fluorosis, begin in childhood and can... Ver
08.001.042 Orthopedic Applications Of Stem Cell Therapy (Including Allografts And Bone Substitutes Used With Autologous Bone Marrow) Oct 17, 2025 Oct 20, 2026 Mesenchymal stem cells (mscs) have the capability to differentiate into a variety of tissue types, including... Ver
08.001.043 Hematopoietic Cell Transplantation For Acute Lymphoblastic Leukemia Feb 17, 2025 Feb 20, 2026 Acute lymphoblastic leukemia (all) is a heterogeneous disease with different genetic variations resulting in... Ver
08.001.044 Treatment Of Hyperhidrosis Jul 11, 2025 Policy Archived Hyperhidrosis, or excessive sweating, can lead to impairments in psychologic and social functioning. various... Ver
08.001.045 Cranial Electrotherapy Stimulation And Auricular Electrostimulation Mar 12, 2025 Mar 20, 2026 Cranial electrotherapy stimulation (ces), also known as cranial electrical stimulation, transcranial... Ver
08.001.046 Electronic Brachytherapy For Nonmelanoma Skin Cancer Aug 18, 2025 Aug 20, 2026 Electronic brachytherapy is a form of radiotherapy designed to deliver high-dose rate radiation to treat... Ver
08.001.047 Hematopoietic Cell Transplantation For Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma Feb 13, 2025 Feb 20, 2026 Risk stratification of patients with chronic lymphocytic leukemia (cll)/small lymphocytic lymphoma (sll)... Ver
08.001.048 Hematopoietic Cell Transplantation For Non-Hodgkin Lymphomas Feb 13, 2025 Feb 20, 2026 Hematopoietic cell transplantation (hct) refers to a procedure by which hematopoietic stem cells are infused... Ver
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