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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 |
|---|---|---|---|---|---|
| 02.002.014 | End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema | Nov 28, 2022 | Policy Archived | End-diastolic pneumatic compression boots are considered investigational as a treatment of peripheral... | Ver |
| 02.002.015 | Closure Devices for Patent Foramen Ovale and Atrial Septal Defects | Jun 11, 2024 | Jun 20, 2025 | The percutaneous transcatheter closure of a patent foramen ovale using a device that has been approved by the... | Ver |
| 02.002.016 | Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting | Jul 16, 2024 | Jul 20, 2025 | In the ambulatory care and outpatient setting, cardiac hemodynamic monitoring for the management of heart... | Ver |
| 02.002.017 | Transcoronary Ablation of Septal Hypertrophy (TASH) | Jun 11, 2020 | Policy Archived | Percutaneous transluminal septal myocardial ablation may be considered medically necessary as a treatment of... | Ver |
| 02.002.018 | Progenitor Cell Therapy for the Treatment of Damaged Myocardium due to Ischemia | Jun 18, 2024 | Jun 20, 2025 | Progenitor cell therapy, including but not limited to skeletal myoblasts or hematopoietic cells, is... | Ver |
| 02.002.019 | Catheter Ablation as Treatment for Atrial Fibrillation | Jun 11, 2024 | Jun 20, 2025 | Transcatheter radiofrequency ablation (rfa) or cryoablation to treat atrial fibrillation may be... | Ver |
| 02.002.020 | Correlated Audioelectric Cardiography | Jul 01, 2024 | Retired | Correlated audioelectric cardiography is considered investigational.... | Ver |
| 02.002.021 | EVALUACION DE LAS SUBCLASES DE LIPOPROTREI DE ALTA DENSIDAD EN EL DIGNÓSTICO Y MANEJO DE LA ENFERMEDAD CARDIOVASCULAR | Nov 16, 2017 | Policy Archived | La subclasificación de lipoproteínas de alta densidad en el cernimiento, diagnóstico y manejo de... | Ver |
| 02.002.022 | Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry | Jun 11, 2024 | Jun 20, 2025 | The use of patient-activated or auto-activated external ambulatory event monitors (aems) or continuous... | Ver |
| 02.002.023 | Wearable Cardioverter Defibrillators | Jun 06, 2024 | Jun 20, 2025 | Use of wearable cardioverter defibrillators (wcds) for the prevention of sudden cardiac death may be... | Ver |
| 02.002.024 | ELECTROCARDIOGRAFIA DE DERIVACION SENCILLA (SAECG) | Nov 16, 2017 | Policy Archived | La electrocardiografía de derivación sencilla no se considera para pago. su uso como una técnica de... | Ver |
| 02.002.026 | Computerized 2-Lead resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Desease | Jul 01, 2024 | Retired | Computerized 2-lead resting electrocardiogram analysis (eg, multifunction cardiogram) is considered... | Ver |
| 02.002.027 | MAPEO ELECTROFISIOLOGICO TRIDIMENSIOL INTRACARDIACO | May 17, 2016 | Policy Archived | ... | Ver |
| 02.002.028 | Echocardiography | May 08, 2019 | Policy Archived | Stress echocardiography the following are considered medically necessary for stress echo: 1. new,... | Ver |
| 02.002.029 | Optical Coherence Tomography for Imaging of Coronary Arteries | Mar 29, 2019 | Policy Archived | Optical coherence tomography is considered investigational when used as an adjunct to percutaneous coronary... | Ver |
| 02.002.030 | CARDIOGRAFIA ACUSTICA | Aug 22, 2017 | Policy Archived | Cardiografía acústica no procede para pago en el diagnóstico de la insuficiencia cardíaca y para la... | Ver |
| 02.002.031 | Transcatheter Mitral Valve Repair | Jun 14, 2024 | Jun 20, 2025 | Transcatheter mitral valve repair (tmvr) with a device approved by the u.s. food and drug administration... | Ver |
| 02.002.033 | Ultrafiltration in Decompensated Heart Failure | Jul 06, 2021 | Policy Archived | The use of ultrafiltration is considered investigational in patients with heart... | Ver |
| 02.002.034 | Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation | Jun 07, 2024 | Jun 20, 2025 | The use of a device with u.s. food and drug administration (fda) approval for percutaneous left atrial... | Ver |
| 02.002.035 | Myocardial Strain Imaging | Jun 18, 2024 | Jun 20, 2025 | Myocardial strain imaging in individuals who have exposure to medications or radiation that could result in... | Ver |
