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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
11.001.024 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 09, 2026 Jan 20, 2027 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 Nov 05, 2025 Nov 20, 2026 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 Jan 09, 2026 Jan 20, 2027 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 09, 2026 Jan 20, 2027 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 19, 2026 Jan 20, 2027 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 13, 2026 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 13, 2026 Jan 20, 2027 Multimarker nutritional panel testing is proposed for patients with certain chronic conditions (eg, mood... Ver
11.001.040 Testing Serum Vitamin D Levels Jan 13, 2026 Jan 20, 2027 Vitamin d, also known as calciferol, is a fat-soluble vitamin that has a variety of physiologic effects, most... Ver
11.001.041 Drug Testing In Pain Management And Substance Use Disorder Treatment Dec 09, 2025 Dec 20, 2026 Individuals in pain management programs and substance use disorder treatment may misuse prescribed opioids... Ver
11.001.042 Fecal Calprotectin Testing Jan 13, 2026 Jan 20, 2027 Calprotectin is a calcium- and zinc-binding protein that is a potential marker of intestinal inflammation.... Ver
11.001.044 Antigen Leukocyte Antibody Test Nov 12, 2025 Nov 20, 2026 The antigen leukocyte antibody test (alcat) is intended to diagnose intolerance to foods and other... Ver
11.001.046 Maternal Serum Biomarkers for Prediction of Adverse Obstetric Outcomes Mar 20, 2025 Mar 20, 2026 Improved accuracy of the identification of pregnant people at risk of preeclampsia and spontaneous preterm... Ver
11.001.047 Multicancer Early Detection Testing Jul 15, 2025 Jul 20, 2026 Many cancers appear to have a better prognosis if diagnosed early in their natural history. this has led to... Ver
11.001.048 Urinary Test for Renal Allograft Rejection Aug 18, 2025 Aug 20, 2026 Clinical assessment, routine monitoring, and noninvasive imaging of allograft function after renal transplant... Ver
11.002.001 Systems Pathology In Prostate Cancer Dec 10, 2020 Policy Archived Systems pathology, an approach that combines cellular and biologic features to standard clinical parameters,... Ver
11.002.003 Molecular Testing For The Management Of Pancreatic Cysts, Barrett Esophagus, And Solid Pancreaticobiliary Lesions Dec 26, 2024 Dec 20, 2025 Tests that integrate microscopic analysis with molecular tissue analysis are generally called topographic... Ver
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