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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
09.003.003 Fotocoagulación del drusen macular Sep 21, 2016 Policy Archived ... Ver
09.003.004 Intraocular Radiotherapy For Age-Related Macular Degeneration Apr 14, 2025 Apr 20, 2026 Intraocular radiation, including brachytherapy, proton beam therapy, and stereotactic radiotherapy, are being... Ver
09.003.005 Intravitreal And Punctum Corticosteroid Implants Oct 24, 2024 Oct 20, 2025 An intravitreal implant is a drug delivery system, injected or surgically implanted in the vitreous of the... Ver
09.003.006 Intravitreal Angiogenesis Inhibitors For Retinal Vascular Conditions Mar 29, 2019 Policy Archived ... Ver
09.003.007 Contact Lenses For The Pediatric Population Nov 10, 2021 Policy Archived It is estimated that 40.9 million people over the age of 18 in the united states (one in six adults) wear... Ver
09.003.008 Intravitreal Angiogenesis Inhibitors For Choroidal Vascular Conditions Mar 29, 2019 Policy Archived Angiogenesis inhibitors (eg, ranibizumab, bevacizumab, pegaptanib, aflibercept) are being evaluated for the... Ver
09.003.009 Eyelid Thermal Pulsation For The Treatment Of Dry Eye Syndrome Apr 18, 2025 Apr 20, 2026 Thermal pulsation is a treatment option for meibomian gland dysfunction. meibomian gland dysfunction is... Ver
09.003.010 Aqueous Shunts And Stents For Glaucoma Dec 20, 2024 Dec 20, 2025 Glaucoma surgery is intended to reduce intraocular pressure (iop) when the target iop cannot be reached using... Ver
09.003.011 Keratoprosthesis Apr 18, 2025 Apr 20, 2026 A keratoprosthesis, consisting of a central optic held in a cylindrical frame, is an artificial cornea... Ver
09.003.012 Orthoptic Training For The Treatment Of Vision Or Learning May 12, 2024 Policy Archived Orthoptic training refers to techniques designed to correct accommodative and convergence insufficiency (or... Ver
09.003.013 Retinal Telescreening For Diabetic Retinopathy May 09, 2025 Policy Archived Retinopathy telescreening and risk assessment with digital imaging systems are proposed as an alternative to... Ver
09.003.014 Corneal Collagen Cross-Linking Apr 10, 2025 Apr 20, 2026 Corneal collagen cross-linking is a photochemical procedure approved by the u.s. food and drug administration... Ver
09.003.026 Viscocanalostomy And Canaloplasty Apr 18, 2025 Apr 20, 2026 Glaucoma surgery is intended to reduce intraocular pressure when the target intraocular pressure cannot be... Ver
09.003.030 Ocriplasmin For Symptomatic Vitreomacular Adhesion May 20, 2024 Policy Archived Ocriplasmin is a recombinant truncated form of human plasmin, a proteolytic enzyme that breaks down protein... Ver
09.003.031 Ophthalmologic Techniques That Evaluate The Posterior Segment For Glaucoma Apr 14, 2025 Apr 20, 2026 Several techniques have been developed to measure the thickness of the optic nerve and retinal nerve fiber... Ver
09.003.032 Fundus Photography and Extended Ophthalmoscopy Jun 03, 2025 Oct 20, 2025 Fundus photography fundus photography is the practice of using a retinal camera to record anomalies in the... Ver
10.001.001 Procedimientos multiples, secundarios e incidentales Aug 22, 2017 Policy Archived ... Ver
10.001.003 Procedimeintos quirúrgicos en oficinas con uso de los modificadores OS y OB Jun 30, 2016 Policy Archived ... Ver
10.001.004 Cirugía ambulatoria Aug 22, 2017 Policy Archived ... Ver
10.001.005 Cirugía intentada Aug 22, 2017 Policy Archived ... Ver
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