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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
11.003.089 Circulating Tumor Dna And Circulating Tumor Cells For Cancer Management (Liquid Biopsy) Sep 20, 2024 Sep 20, 2025 Circulating tumor dna (ctdna) and circulating tumor cells (ctcs) in peripheral blood, referred to as... Ver
11.003.090 Gene Expression Profiling For Uveal Melanoma Mar 12, 2025 Mar 20, 2026 Uveal melanoma is associated with a high rate of metastatic disease, and survival after the development of... Ver
11.003.092 Proteogenomic Testing For Patients With Cancer Jul 08, 2024 Jul 20, 2025 Proteogenomics refers to the integration of genomic information with proteomic and transcriptomic information... Ver
11.003.093 Genetic Testing For Mitochondrial Disorders Oct 08, 2024 Oct 20, 2025 Mitochondrial diseases are multisystem diseases that arise from dysfunction in the mitochondrial protein... Ver
11.003.094 Serum Biomarket Panel Testing For Systemic Lupus Erythematosus And Other Connective Tissue Deseases Jul 08, 2024 Jul 20, 2025 Systemic lupus erythematosus (sle) is an autoimmune connective tissue disease (ctd) that can be difficult to... Ver
11.003.095 Genotype-Guided Tamoxifen Treatment Sep 13, 2024 Sep 20, 2025 Tamoxifen is prescribed as a component of adjuvant endocrine therapy to prevent endocrine receptor-positive... Ver
11.003.096 Miscellaneous Genetic And Molecular Diagnostic Tests Aug 12, 2024 Aug 20, 2025 There are numerous commercially available genetic and molecular diagnostic, prognostic, and therapeutic tests... Ver
11.003.097 Gene Expression Profiling For Cutaneous Melanoma Jun 07, 2024 Jun 20, 2025 Laboratory tests have been developed that detect the expression of different genes in pigmented lesions or... Ver
11.003.098 Use Of Common Genetic Variants (Single Nucleotide Variants) To Predict Risk Of Nonfamilial Breast Cancer Nov 15, 2024 Nov 20, 2025 Several single nucleotide variants (snvs), which are single base-pair variations in the dna sequence of the... Ver
11.003.099 Circulating Tumor Dna For Management Of Non-Small-Cell Lung Cancer (Liquid Biopsy) Dec 10, 2021 Policy Archived ... Ver
11.003.100 Dna-Based Testing For Adolescent Idiopathic Scoliosis Mar 05, 2021 Policy Archived Adolescent idiopathic scoliosis (ais) is a disease of unknown etiology that causes mild-to-severe spinal... Ver
11.003.101 Genetic Testing For Alpha 1 – Antitrypsin Deficiency Feb 19, 2025 Feb 20, 2026 Alpha1-antitrypsin deficiency (aatd) is an autosomal recessive genetic disorder that results in decreased... Ver
11.003.102 Genetic Testing For Neurofibromatosis Feb 05, 2025 Feb 20, 2026 Neurofibromatoses are autosomal dominant genetic disorders associated with tumors of the peripheral and... Ver
11.003.103 Gene Therapy For Inherited Retinal Dystrophy Feb 19, 2025 Feb 20, 2026 Inherited retinal dystrophy can be caused by recessive variants in the rpe65 gene. patients with biallelic... Ver
11.003.104 Genetic Testing For Lipoprotein(A) Variant(S) As A Decision Aid For Aspirin Treatment Dec 28, 2021 Policy Archived Lipoprotein(a) (lpa) is a lipid-rich particle similar to low-density lipoprotein and has been determined to... Ver
11.003.105 Microarray-Based Gene Expression Profile Testing For Multiple Myeloma Risk Stratification Dec 05, 2024 Nov 20, 2025 Summary multiple myeloma is a genetically complex-and invariably fatal-disease. a host of well-characterized... Ver
11.003.106 Genetic Testing For Heterozygous Familial Hypercholesterolemia Nov 12, 2024 Nov 20, 2025 Complete appendix to guidelines available at http://journals.aace.com. endocr pract. apr 02 2017; 23(4):... Ver
11.003.107 Genetic Testing For Hereditary Pancreatic Cancer Mar 03, 2025 Mar 20, 2026 Pancreatic cancer is the fourth leading cause of cancer death in the united states, accounting for 8.3% of... Ver
11.003.108 Measurement Of Serum Antibodies To Selected Biologic Agent Dec 20, 2024 Dec 20, 2025 Biologic agents used to treat autoimmune diseases include infliximab, adalimumab, vedolizumab, and... Ver
11.003.109 Human Leukocyte Antigen Testing For Celiac Disease Dec 09, 2024 Dec 20, 2025 Celiac disease (cd) is currently diagnosed by serology, medical history, and response to a gluten-free diet,... Ver

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