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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
02.001.053 Ingestible Ph And Pressure Capsule Dec 28, 2020 Policy Archived An ingestible ph and pressure-sensing capsule (smartpill gi monitoring system) measures ph, pressure, and... Ver
02.001.054 Alcohol Injections For Treatment Of Peripheral Neuromas Jul 08, 2023 Policy Archived Morton neuroma is a common and painful compression neuropathy of the dorsal foot that is also referred to as... Ver
02.001.055 Automated Point-Of-Care Nerve Conduction Tests Dec 08, 2020 Policy Archived Portable devices have been developed to provide point-of-care (poc) nerve conductions studies (ncss). these... Ver
02.001.056 Oncologic Application For Opdivo (Nivolumab) Oct 24, 2024 Oct 20, 2025 Opdivo is a programmed death receptor-1 (pd-1) blocking antibody indicated for the treatment of: •... Ver
02.001.059 Pembrolizumab (Keytruda) Oct 24, 2024 Oct 20, 2025 Pembrolizumab is a highly selective anti-pd-1 humanized monoclonal antibody which inhibits programmed cell... Ver
02.001.061 (Obinutuzumab) Gazyva Oct 24, 2024 Oct 20, 2025 Gazyva (obinutuzumab) is an antineoplastic agent, anti-cd20 monoclonal antibody. for individuals who have nhl... Ver
02.001.063 Intra-Articular Hyaluronan Injections For Osteoarthritis May 05, 2025 May 20, 2026 Intra-articular injection of hyaluronan into osteoarthritic joints is proposed to reduce pain and improve... Ver
02.001.065 Polysomnography For Non-Respiratory Sleep Disorders Jul 08, 2024 Jul 20, 2025 Polysomnography records multiple physiologic parameters relevant to sleep. video recording may also be... Ver
02.001.066 Navigated Transcranial Magnetic Stimulation Aug 27, 2024 Policy Archived Navigated transcranial magnetic stimulation (ntms) is a noninvasive imaging method for evaluating eloquent... Ver
02.001.067 Neurofeedback Aug 06, 2024 Policy Archived Description – intro neurofeedback describes techniques for providing feedback about neuronal activity,... Ver
02.001.068 Biofeedback As A Treatment Of Urinary Incontinence In Adults Nov 06, 2024 Nov 20, 2025 Biofeedback is a technique to teach patients self-regulation of physiologic processes not generally... Ver
02.001.069 Dermatologic Applications Of Photodynamic Therapy Jan 14, 2025 Jan 20, 2026 Photodynamic therapy (pdt) refers to light activation of a photosensitizer to generate highly reactive... Ver
02.001.070 Laser Treatment For Onychomycosis Jan 20, 2025 Jan 20, 2026 Onychomycosis is a common fungal infection of the nail. currently available treatments for onychomycosis,... Ver
02.001.071 Vestibular Function Testing Mar 03, 2025 Mar 20, 2026 Dizziness, vertigo, and balance impairments can arise from a loss of vestibular function. a number of... Ver
02.001.072 Biofeedback As A Treatment Of Fecal Incontinence Or Constipation Dec 03, 2024 Dec 20, 2025 Biofeedback is a technique to teach patients self-regulation of physiological processes not generally... Ver
02.001.073 Neural Therapy Dec 20, 2024 Dec 20, 2025 Neural therapy involves the injection of a local anesthetic such as procaine or lidocaine into various... Ver
02.001.074 Confocal Laser Endomicroscopy Dec 20, 2024 Dec 20, 2025 Confocal laser endomicroscopy (cle), also known as confocal fluorescent endomicroscopy and optical... Ver
02.001.075 Peroral Endoscopic Myotomy For Treatment Of Esophageal Achalasia Dec 09, 2024 Dec 20, 2025 Esophageal achalasia is characterized by reduced numbers of neurons in the esophageal myenteric plexuses and... Ver
02.001.076 Fecal Microbiota Transplantation Dec 09, 2024 Dec 20, 2025 Fecal microbiota transplantation (fmt) involves the administration of intestinal microorganisms via the... Ver
02.001.077 Epidural Steroid Injections For Neck Or Back Pain Dec 20, 2024 Dec 20, 2025 Epidural steroid injections (esis) are a treatment for neck or back pain that has not responded to... Ver
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