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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
11.001.013 Urinary Biomarkers For Cancer Screening, Diagnosis, And Surveillance Jan 21, 2025 Jan 20, 2026 The diagnosis of bladder cancer is generally made by cystoscopy and biopsy. bladder cancer has a very high... Ver
11.001.016 Serum Biomarker Tests For Multiple Sclerosis Jun 08, 2020 Policy Archived Serum antibodies to polysaccharide-containing molecules, called glycans, and other serum biomarkers are... Ver
11.001.017 Pharmacogenetic Testing For Pain Management Feb 20, 2025 Feb 20, 2026 While multiple pharmacologic therapies are available for the management of acute and chronic pain, there is a... Ver
11.001.018 Diagnóstico serológico de la enfermedad celiaca Sep 21, 2016 Policy Archived ... Ver
11.001.020 Detection Of Circulating Tumor Cells In The Management Of Patients With Cancer May 30, 2019 Policy Archived The prognosis of cancer patients is often determined by the occurrence of metastatic disease. studies have... Ver
11.001.021 Measurement Of Long-Chain Omega-3 Fatty Acids In Red Blood Cell Membranes As A Cardiac Risk Factor May 22, 2019 Policy Archived Epidemiologic studies have reported that subjects who eat a diet high in fish have a reduced risk of sudden... Ver
11.001.022 Homocysteine Testing In The Screening, Diagnosis, And Management Of Cardiovascular Disease And Venous Thromboembolic Disease Jan 08, 2025 Jan 20, 2026 Homocysteine is an amino acid that has been evaluated as a potential marker of cardiovascular disease (cvd)... Ver
11.001.023 Procalcitonin As A Marker In The Systemic Inflammatory Response Nov 10, 2021 Policy Archived Severe infection and sepsis are frequent causes of morbidity and mortality in intensive care units. infection... Ver
11.001.024 Laboratory Testing For Hiv Tropism Jan 19, 2021 Policy Archived Hiv tropism testing can determine the predominant coreceptor protein used by hiv to infect target cells.... Ver
11.001.026 Genotipo y Fenotipo en HIV May 16, 2016 Policy Archived ... Ver
11.001.027 Immune Cell Function Assay Jan 08, 2025 Jan 20, 2026 Careful monitoring of lifelong immunosuppression is required to ensure the long-term viability of solid organ... Ver
11.001.029 Prueba fibronectina fetal May 16, 2016 Policy Archived ... Ver
11.001.032 Evaluation of Biomarkers for Alzheimer Disease Dec 10, 2024 Nov 20, 2025 Biochemical changes associated with the pathophysiology of alzheimer disease (ad) are being evaluated to aid... Ver
11.001.033 Bone Turnover Markers For The Diagnosis And Management Of Osteoporosis And Diseases Associated With High Bone Turnover Feb 05, 2025 Feb 20, 2026 Bone turnover markers are biochemical markers of either bone formation or bone resorption. commercially... Ver
11.001.034 Fecal Analysis In The Diagnosis Of Intestinal Dysbiosis Jan 08, 2025 Jan 20, 2026 Intestinal dysbiosis may be defined as a state of disordered microbial ecology that is believed to cause... Ver
11.001.036 Quantitative Assay For Measurement Of Her2 Total Protein Expression And Her2 Jan 19, 2021 Policy Archived Novel assays that quantitatively measure total human epidermal growth factor receptor 2 (her2) protein... Ver
11.001.037 Intracellular Micronutrient Analysis Jan 08, 2025 Jan 20, 2026 Commercial laboratories offer panels of tests evaluating intracellular levels of micronutrients (essential... Ver
11.001.038 Multitarget Polymerase Chain Traction Testing For Diagnosis Of Bacterial Vaginosis Jan 15, 2025 Policy Archived Bacterial vaginosis (bv) is a common medical condition resulting from an imbalance in the normal vaginal... Ver
11.001.039 Nutrient/Nutritional Panel Testing Jan 15, 2025 Jan 20, 2026 Multimarker nutritional panel testing is proposed for patients with certain chronic conditions (eg, mood... Ver
11.001.040 Testing Serum Vitamin D Levels Jan 15, 2025 Jan 20, 2026 Vitamin d, also known as calciferol, is a fat-soluble vitamin that has a variety of physiologic effects, most... Ver

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