Insurer medical policies

More records

Continuing the Insurer medical policies list, 1000 records per page, after cigna-ip0627.

1. cigna-ip0628Amyloidosis - Wainua
2. cigna-ip0629Metabolic Disorders - Primary Hyperoxaluria Medications - Rivfloza
3. cigna-ip0630Gastroenterology - Eohilia
4. cigna-ip0631Pulmonary Arterial Hypertension - Endothelian Receptor Antagonists
5. cigna-ip0635Dermatology - Filsuvez
6. cigna-ip0636Human Immunodeficiency Virus - Descovy for Employer Plans
7. cigna-ip0640Migraine - Elyxyb
8. cigna-ip0642Hepatology - Rezdiffra
9. cigna-ip0644Ophthalmology - Dry Eye Disease - Xiidra for Individual and Family Plans
10. cigna-ip0645Pulmonary Arterial Hypertension - Winrevair
11. cigna-ip0646Inflammatory Conditions - Zymfentra Prior Authorization Policy
12. cigna-ip0647Complement Inhibitors - Voydeya
13. cigna-ip0648Hemophilia - Gene Therapy - Beqvez
14. cigna-ip0649Inflammatory Conditions - Spevigo Subcutaneous Prior Authorization Policy
15. cigna-ip0650Vecamyl for Individual and Family Plans
16. cigna-ip0651Muscular Dystrophy - Duvyzat
17. cigna-ip0652Inflammatory Conditions - Adalimumab Products Prior Authorization Policy
18. cigna-ip0653Immunologicals - Adbry Prior Authorization Policy
19. cigna-ip0654Complement System Disorders - WHIM Syndrome - Xolremdi
20. cigna-ip0655Multiple Sclerosis and Ulcerative Colitis (Oral - Sphingosine 1-Phosphate Receptor…
21. cigna-ip0656Inflammatory Conditions - Tocilizumab Intravenous Products Prior Authorization Policy
22. cigna-ip0657Inflammatory Conditions - Tocilizumab Subcutaneous Products Prior Authorization Policy
23. cigna-ip0658Inflammatory Conditions - Bimzelx Prior Authorization Policy
24. cigna-ip0659Inflammatory Conditions - Ilumya Prior Authorization Policy
25. cigna-ip0660Inflammatory Conditions - Infliximab Intravenous Products Prior Authorization Policy
26. cigna-ip0661Inflammatory Conditions - Kineret Prior Authorization Policy
27. cigna-ip0662Inflammatory Conditions - Omvoh Intravenous Prior Authorization Policy
28. cigna-ip0663Inflammatory Conditions - Omvoh Subcutaneous Prior Authorization Policy
29. cigna-ip0664Inflammatory Conditions - Orencia Intravenous Prior Authorization Policy
30. cigna-ip0665Inflammatory Conditions - Orencia Subcutaneous Prior Authorization Policy
31. cigna-ip0666Inflammatory Conditions - Otezla/Otezla XR Prior Authorization Policy
32. cigna-ip0667Inflammatory Conditions - Simponi Subcutaneous Prior Authorization Policy
33. cigna-ip0668Inflammatory Conditions - Simponi Aria Prior Authorization Policy
34. cigna-ip0669Inflammatory Conditions - Skyrizi Intravenous Prior Authorization Policy
35. cigna-ip0670Inflammatory Conditions - Skyrizi Subcutaneous Prior Authorization Policy
36. cigna-ip0671Inflammatory Conditions - Sotyktu Prior Authorization Policy
37. cigna-ip0672Inflammatory Conditions - Cimzia Prior Authorization Policy
38. cigna-ip0673Inflammatory Conditions - Etanercept Products Prior Authorization Policy
39. cigna-ip0674Inflammatory Conditions - Entyvio Intravenous Prior Authorization Policy
40. cigna-ip0675Inflammatory Conditions - Entyvio Subcutaneous Prior Authorization Policy
41. cigna-ip0677Inflammatory Conditions - Cibinqo Prior Authorization Policy
42. cigna-ip0678Inflammatory Conditions - Cosentyx Subcutaneous Prior Authorization Policy
43. cigna-ip0679Inflammatory Conditions - Kevzara Prior Authorization Policy
44. cigna-ip0680Inflammatory Conditions - Litfulo Prior Authorization Policy
45. cigna-ip0681Inflammatory Conditions - Olumiant Prior Authorization Policy
46. cigna-ip0682Inflammatory Conditions - Rinvoq/Rinvoq LQ Prior Authorization Policy
47. cigna-ip0683Inflammatory Conditions - Cosentyx Intravenous Prior Authorization Policy
48. cigna-ip0685Inflammatory Conditions - Siliq Prior Authorization Policy
49. cigna-ip0686Inflammatory Conditions - Ustekinumab Intravenous Prior Authorization Policy
50. cigna-ip0687Inflammatory Conditions - Ustekinumab Subcutaneous Prior Authorization Policy
51. cigna-ip0688Inflammatory Conditions - Taltz Prior Authorization Policy
52. cigna-ip0689Inflammatory Conditions - Tremfya Prior Authorization Policy
53. cigna-ip0690Multiple Sclerosis and Crohn’s Disease - Tysabri Prior Authorization Policy
54. cigna-ip0691Inflammatory Conditions - Velsipity Prior Authorization Policy
55. cigna-ip0692Inflammatory Conditions - Xeljanz/Xeljanz XR Prior Authorization Policy
56. cigna-ip0693Hematology - Rytelo
57. cigna-ip0694Complement Inhibitors - PiaSky
58. cigna-ip0695Neurology - Gene Therapy - Lenmeldy
59. cigna-ip0696Lofexidine for Individual and Family Plans
60. cigna-ip0697Neurology - Kisunla
61. cigna-ip0698Diabetes - Symlin for Individual and Family Plans
62. cigna-ip0699Oncology (Injectable - T-Cell Immunotherapy - MAGE-A4) - Tecelra
63. cigna-ip0701Diabetes - Glucagon-Like Peptide-1 Agonists for Employer Plans: Standard/Performance…
64. cigna-ip0702Diabetes - Glucagon-Like Peptide-1 Agonists for Individual and Family Plans
65. cigna-ip0703Hyperhidrosis - Sofdra
66. cigna-ip0704Inflammatory Conditions - Tremfya Intravenous Prior Authorization Policy
67. cigna-ip0705Multiple Sclerosis - Ocrevus Zunovo
68. cigna-ip0706Nephrology - Vafseo
69. cigna-ip0707Cardiology - Zontivity for Individual and Family Plans
70. cigna-ip0708Immunologicals - Ebglyss
71. cigna-ip0709ZTlido for Individual and Family Plans
72. cigna-ip0710Hepatology - Iqirvo
73. cigna-ip0711Hepatology - Livdelzi
74. cigna-ip0712Hypoparathyroidism - Yorvipath
75. cigna-ip0713Cardiology - Tryvio
76. cigna-ip0714Immunologicals - Nemluvio
77. cigna-ip0715Niemann-Pick disease type C - Aqneursa
78. cigna-ip0716Niemann-Pick disease type C - Miplyffa
79. cigna-ip0719Dronabinol Products
80. cigna-ip0720Ophthalmology - Dry Eye Disease - Eysuvis for Individual and Family Plans
81. cigna-ip0721Ophthalmology - Dry Eye Disease - Lacrisert for Individual and Family Plans
82. cigna-ip0723Cystic Fibrosis Transmembrane Conductance Regulator - Alyftrek
83. cigna-ip0724Testosterone - Undecatrex
84. cigna-ip0725Neurology - Gene Therapy - Kebilidi
85. cigna-m0003Infliximab
86. cigna-m0007Golimumab Intravenous
87. cigna-p0005Oxymetholone
88. cigna-p0007Rilonacept
89. cigna-p0023Insulin Glargine
90. cigna-p0050HIV Products
91. cigna-p0059Nitrofurantoin Suspension
92. cigna-p0083Antitussives
93. cigna-p0084Budesonide
94. cigna-p0095Nembutal [pentobarbital] injection and Seconal [secobarbital] capsules
95. cigna-p0098Antihyperglycemic Therapy (Non-Insulin)
96. cigna-p0101Antimalarial Therapy
97. cigna-p0107Pyridostigmine
98. cigna-psm001Inflammatory Conditions Preferred Specialty Management Policy for Employer Plans…
99. cigna-psm002Inflammatory Conditions Preferred Specialty Management Policy for Individual and Family…
100. cigna-psm003Inflammatory Conditions - Adalimumab Products Preferred Specialty Management Policy for…
101. cigna-psm004Multiple Sclerosis and Ulcerative Colitis - Zeposia Preferred Specialty Management Policy…
102. cigna-psm005Inflammatory Conditions - Infliximab Intravenous Products Preferred Specialty Management…
103. cigna-psm006Inflammatory Conditions - Orencia Intravenous Preferred Specialty Management Policy for…
104. cigna-psm008Multiple Sclerosis and Ulcerative Colitis - Zeposia Preferred Specialty Management Policy…
105. cigna-psm009Inflammatory Conditions - Cosentyx Intravenous Preferred Specialty Management Policy for…
106. cigna-psm010Inflammatory Conditions - Orencia Intravenous Preferred Specialty Management Policy for…
107. cigna-psm011Inflammatory Conditions - Omvoh Intravenous Preferred Specialty Management Policy for…
108. cigna-psm012Inflammatory Conditions - Tocilizumab Intravenous Products Preferred Specialty Management…
109. cigna-psm013Inflammatory Conditions - Adalimumab Products Preferred Specialty Management Policy…
110. cigna-psm014Inflammatory Conditions - Adalimumab Products Preferred Specialty Management Policy for…
111. cigna-psm015Multiple Sclerosis and Ulcerative Colitis - Zeposia Preferred Specialty Management Policy…
112. cigna-psm016Inflammatory Conditions - Cosentyx Intravenous Preferred Specialty Management Policy for…
113. cigna-psm017Inflammatory Conditions Preferred Specialty Management Policy for Employer Plans: Legacy…
114. cigna-psm018Inflammatory Conditions - Orencia Intravenous Preferred Specialty Management Policy for…
115. cigna-psm019Inflammatory Conditions - Omvoh Intravenous Preferred Specialty Management Policy For…
116. cigna-um-20Network Adequacy Provision (NAP) - (UM
117. cigna-um-35Transition of Care Service Requests For New Customers - (UM
118. cigna-um-41Continuity of Care Service Requests - (UM
119. cigna-um-47Lack of Information (LOI) Retrospective Review - (UM
120. cigna-um-49Lack of Information (LOI) Pre-Service - (UM
121. )
122. cigna-whole-exome-sequencing-recommendation-form
123. empire-blue-admin-00001Medical Policy Formation
124. empire-blue-admin-00002Preventive Health Guidelines
125. empire-blue-admin-00004Medical Necessity Criteria
126. empire-blue-admin-00005Investigational Criteria
127. empire-blue-admin-00006Review of Services for Benefit Determinations in the Absence of a Company Applicable…
128. empire-blue-admin-00007Immunizations
129. empire-blue-anc-00006Biomagnetic Therapy
130. empire-blue-anc-00007Cosmetic and Reconstructive Services: Skin Related
131. empire-blue-anc-00008Cosmetic and Reconstructive Services of the Head and Neck
132. empire-blue-anc-00009Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities
133. empire-blue-cg-admin-01Clinical Utilization Management (UM) Guideline for Pre-Payment Review Medical Necessity…
134. empire-blue-cg-anc-03Acupuncture
135. empire-blue-cg-anc-04Ambulance Services: Air and Water
136. empire-blue-cg-anc-05Ambulance Services: Ground; Emergent
137. empire-blue-cg-anc-06Ambulance Services: Ground; Non-Emergent
138. empire-blue-cg-anc-07Inpatient Interfacility Transfers
139. empire-blue-cg-anc-08Mobile Device-Based Health Management Applications
140. empire-blue-cg-beh-02Adaptive Behavioral Treatment
141. empire-blue-cg-beh-14Intensive In-home Behavioral Health Services
142. empire-blue-cg-beh-15Activity Therapy for Autism Spectrum Disorders and Rett Syndrome
143. empire-blue-cg-dme-03Neuromuscular Stimulation in the Treatment of Muscle Atrophy
144. empire-blue-cg-dme-04Electrical Nerve Stimulation, Transcutaneous, Percutaneous
145. empire-blue-cg-dme-05Cervical Traction Devices for Home Use
146. empire-blue-cg-dme-06Compression Devices for Lymphedema
147. empire-blue-cg-dme-07Augmentative and Alternative Communication (AAC) Devices with Digitized or Synthesized…
148. empire-blue-cg-dme-08Infant Home Apnea Monitors
149. empire-blue-cg-dme-09Continuous Local Delivery of Analgesia to Operative Sites using an Elastomeric Infusion…
150. empire-blue-cg-dme-10Durable Medical Equipment
151. empire-blue-cg-dme-12Home Phototherapy Devices for Neonatal Hyperbilirubinemia
152. empire-blue-cg-dme-13Lower Limb Prosthesis
153. empire-blue-cg-dme-15Hospital Beds and Accessories
154. empire-blue-cg-dme-16Pressure Reducing Support Surfaces - Groups 1, 2 & 3
155. empire-blue-cg-dme-18Home Oxygen Therapy
156. empire-blue-cg-dme-19Therapeutic Shoes, Inserts, or Modifications for Individuals with Diabetes
157. empire-blue-cg-dme-20Orthopedic Footwear
158. empire-blue-cg-dme-21External Infusion Pumps for the Administration of Drugs in the Home or Residential Care…
159. empire-blue-cg-dme-22Ankle-Foot & Knee-Ankle-Foot Orthoses
160. empire-blue-cg-dme-23Lifting Devices for Use in the Home
161. empire-blue-cg-dme-24Wheeled Mobility Devices: Manual Wheelchairs - Standard, Heavy Duty and Lightweight
162. empire-blue-cg-dme-25Seat Lift Mechanisms
163. empire-blue-cg-dme-26Back-Up Ventilators in the Home Setting
164. empire-blue-cg-dme-30Prothrombin Time Self-Monitoring Devices
165. empire-blue-cg-dme-31Powered Wheeled Mobility Devices
166. empire-blue-cg-dme-33Wheeled Mobility Devices: Manual Wheelchairs-Ultra-Lightweight
167. empire-blue-cg-dme-34Wheeled Mobility Devices: Wheelchair Accessories
168. empire-blue-cg-dme-35Electric Breast Pumps
169. empire-blue-cg-dme-36Pediatric Gait Trainers
170. empire-blue-cg-dme-37Air Conduction Hearing Aids
171. empire-blue-cg-dme-39Dynamic Low-Load Prolonged-Duration Stretch Devices
172. empire-blue-cg-dme-40Noninvasive Electrical Bone Growth Stimulation of the Appendicular Skeleton
173. empire-blue-cg-dme-41Ultraviolet Light Therapy Delivery Devices for Home Use
174. empire-blue-cg-dme-42Continuous Glucose Monitoring Devices
175. empire-blue-cg-dme-43High Frequency Chest Compression Devices for Airway Clearance
176. empire-blue-cg-dme-44Electric Tumor Treatment Field (TTF)
177. empire-blue-cg-dme-45Ultrasound Bone Growth Stimulation
178. empire-blue-cg-dme-46Pneumatic Compression Devices for Prevention of Deep Vein Thrombosis of the Extremities in…
179. empire-blue-cg-dme-47Noninvasive Home Ventilator Therapy for Respiratory Failure
180. empire-blue-cg-dme-48Vacuum Assisted Wound Therapy in the Outpatient Setting
181. empire-blue-cg-dme-49Standing Frames
182. empire-blue-cg-gene-04Molecular Marker Evaluation of Thyroid Nodules
183. empire-blue-cg-gene-10Chromosomal Microarray Analysis (CMA) for Developmental Delay, Autism Spectrum Disorder…
184. empire-blue-cg-gene-11Genotype Testing for Individual Genetic Polymorphisms to Determine Drug-Metabolizer Status
185. empire-blue-cg-gene-13Genetic Testing for Inherited Diseases
186. empire-blue-cg-gene-14Gene Mutation Testing for Cancer Susceptibility and Management
187. empire-blue-cg-gene-15Genetic Testing for Lynch Syndrome, Familial Adenomatous Polyposis (FAP), Attenuated FAP…
188. empire-blue-cg-gene-16BRCA Genetic Testing
189. empire-blue-cg-gene-18Genetic Testing for TP53 Mutations
190. empire-blue-cg-gene-19Measurable Residual Disease Assessment in Lymphoid Cancers Using Next Generation…
191. empire-blue-cg-gene-21Cell-Free Fetal DNA-Based Prenatal Testing
192. empire-blue-cg-gene-22Gene Expression Profiling for Managing Breast Cancer Treatment
193. empire-blue-cg-lab-03Tropism Testing for HIV Management
194. empire-blue-cg-lab-09Drug Testing or Screening in the Context of Substance Use Disorder and Chronic Pain
195. empire-blue-cg-lab-10Zika Virus Testing
196. empire-blue-cg-lab-11Screening for Vitamin D Deficiency in Average Risk Individuals
197. empire-blue-cg-lab-12Testing for Oral and Esophageal Cancer
198. empire-blue-cg-lab-13Skin Nerve Fiber Density Testing
199. empire-blue-cg-lab-14Respiratory Viral Panel Testing in the Outpatient Setting
200. empire-blue-cg-lab-15Red Blood Cell Folic Acid Testing
201. empire-blue-cg-lab-16Serum Amylase Testing
202. empire-blue-cg-lab-17Molecular Gastrointestinal Pathogen Panel (GIPP) Testing for Infectious Diarrhea in the…
203. empire-blue-cg-lab-19Laboratory Evaluation of Vitamin B12
204. empire-blue-cg-lab-20Thyroid Testing
205. empire-blue-cg-lab-21Serum Iron Testing
206. empire-blue-cg-lab-22Nucleic Acid Amplification Tests Using Algorithmic Analysis for the Diagnosis of Vaginitis
207. empire-blue-cg-lab-24Outpatient Urine Culture
208. empire-blue-cg-lab-25Outpatient Glycated Hemoglobin and Protein Testing
209. empire-blue-cg-med-02Esophageal pH Monitoring
210. empire-blue-cg-med-05Ketogenic Diet for Treatment of Intractable Seizures
211. empire-blue-cg-med-08Home Enteral Nutrition
212. empire-blue-cg-med-19Custodial Care
213. empire-blue-cg-med-21Anesthesia Services and Moderate (“Conscious”) Sedation
214. empire-blue-cg-med-23Home Health
215. empire-blue-cg-med-24Electromyography and Nerve Conduction Studies
216. empire-blue-cg-med-26Neonatal Levels of Care
217. empire-blue-cg-med-28Iontophoresis
218. empire-blue-cg-med-34Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
219. empire-blue-cg-med-35Retinal Telescreening Systems
220. empire-blue-cg-med-37Intensive Programs for Pediatric Feeding Disorders
221. empire-blue-cg-med-38Inpatient Admission for Radiation Therapy for Cervical or Thyroid Cancer
222. empire-blue-cg-med-39Bone Mineral Density Testing Measurement
223. empire-blue-cg-med-40External Ambulatory Cardiac Monitors
224. empire-blue-cg-med-41Moderate to Deep Anesthesia Services for Dental Surgery in the Facility Setting
225. empire-blue-cg-med-42Maternity Ultrasound in the Outpatient Setting
226. empire-blue-cg-med-45Transrectal Ultrasonography
227. empire-blue-cg-med-46Ambulatory Electroencephalography
228. empire-blue-cg-med-47Fundus Photography
229. empire-blue-cg-med-48Scrotal Ultrasound
230. empire-blue-cg-med-49Auditory Brainstem Responses (ABRs) and Evoked Otoacoustic Emissions (OAEs) for Hearing…
231. empire-blue-cg-med-50Visual, Somatosensory and Motor Evoked Potentials
232. empire-blue-cg-med-51Three-Dimensional (3-D) Rendering of Imaging Studies
233. empire-blue-cg-med-52Allergy Immunotherapy (Subcutaneous)
234. empire-blue-cg-med-53Cervical Cancer Screening Using Cytology and Human Papillomavirus Testing
235. empire-blue-cg-med-54Strapping
236. empire-blue-cg-med-55Site of Care: Advanced Radiologic Imaging
237. empire-blue-cg-med-56Non-Obstetrical Transvaginal Ultrasonography
238. empire-blue-cg-med-57Cardiac Stress Testing with Electrocardiogram
239. empire-blue-cg-med-59Upper Gastrointestinal Endoscopy in Adults
240. empire-blue-cg-med-61Preoperative Testing for Low Risk Invasive Procedures and Surgeries
241. empire-blue-cg-med-62Resting Electrocardiogram Screening in Adults
242. empire-blue-cg-med-64Transcatheter Ablation of Arrhythmogenic Foci in the Pulmonary Veins
243. empire-blue-cg-med-65Manipulation Under Anesthesia
244. empire-blue-cg-med-66Cryopreservation of Oocytes or Ovarian Tissue
245. empire-blue-cg-med-68Therapeutic Apheresis
246. empire-blue-cg-med-69Inhaled Nitric Oxide
247. empire-blue-cg-med-70Wireless Capsule Endoscopy for Gastrointestinal Imaging and the Patency Capsule
248. empire-blue-cg-med-71Chronic Wound Care in the Home or Outpatient Setting
249. empire-blue-cg-med-72Hyperthermia for Cancer Therapy
250. empire-blue-cg-med-73Hyperbaric Oxygen Therapy (Systemic/Topical)
251. empire-blue-cg-med-74Implantable Ambulatory Event Monitors and Mobile Cardiac Telemetry
252. empire-blue-cg-med-76Magnetic Source Imaging and Magnetoencephalography
253. empire-blue-cg-med-78Anesthesia Services for Interventional Pain Management Procedures
254. empire-blue-cg-med-79Diaphragmatic/Phrenic Nerve Stimulation and Diaphragm Pacing Systems
255. empire-blue-cg-med-81Ultrasound Ablation for Oncologic Indications
256. empire-blue-cg-med-83Site of Care: Specialty Pharmaceuticals
257. empire-blue-cg-med-84Non-Obstetric Gynecologic Duplex Ultrasonography of the Abdomen and Pelvis in the…
258. empire-blue-cg-med-85Posterior Segment Optical Coherence Tomography
259. empire-blue-cg-med-86Enhanced External Counterpulsation in the Outpatient Setting
260. empire-blue-cg-med-88Preimplantation Embryo Biopsy
261. empire-blue-cg-med-89Home Parenteral Nutrition
262. empire-blue-cg-med-90Chelation Therapy
263. empire-blue-cg-med-91Remote Therapeutic and Physiologic Monitoring Services
264. empire-blue-cg-med-92Foot Care Services
265. empire-blue-cg-med-93Navigational Bronchoscopy
266. empire-blue-cg-or-pr-02Prefabricated and Prophylactic Knee Braces
267. empire-blue-cg-or-pr-03Custom-made Knee Braces
268. empire-blue-cg-or-pr-04Cranial Remodeling Bands and Helmets (Cranial Orthoses)
269. empire-blue-cg-or-pr-05Myoelectric Upper Extremity Prosthetic Devices
270. empire-blue-cg-or-pr-06Spinal Orthoses: Thoracic-Lumbar-Sacral (TLSO), Lumbar-Sacral (LSO), and Lumbar
271. empire-blue-cg-rehab-02Outpatient Cardiac Rehabilitation
272. empire-blue-cg-rehab-03Pulmonary Rehabilitation
273. empire-blue-cg-rehab-07Skilled Nursing and Skilled Rehabilitation Services (Outpatient)
274. empire-blue-cg-rehab-08Private Duty Nursing in the Home Setting
275. empire-blue-cg-rehab-10Site of Care: Outpatient Physical Therapy, Occupational Therapy, and Speech-Language…
276. empire-blue-cg-rehab-12Rehabilitative and Habilitative Services in the Home Setting: Physical Medicine/Physical…
277. empire-blue-cg-surg-01Colonoscopy
278. empire-blue-cg-surg-03Blepharoplasty, Blepharoptosis Repair, and Brow Lift
279. empire-blue-cg-surg-05Maze Procedure
280. empire-blue-cg-surg-07Vertical Expandable Prosthetic Titanium Rib
281. empire-blue-cg-surg-08Sacral Nerve Stimulation as a Treatment of Neurogenic Bladder Secondary to Spinal Cord…
282. empire-blue-cg-surg-09Temporomandibular Disorders
283. empire-blue-cg-surg-10Ambulatory or Outpatient Surgery Center Procedures
284. empire-blue-cg-surg-100Laser Trabeculoplasty and Laser Peripheral Iridotomy
285. empire-blue-cg-surg-101Ablative Techniques as a Treatment for Barrett’s Esophagus
286. empire-blue-cg-surg-102Alcohol Septal Ablation for Treatment of Hypertrophic Cardiomyopathy
287. empire-blue-cg-surg-103Penile Circumcision
288. empire-blue-cg-surg-104Intraoperative Neurophysiological Monitoring
289. empire-blue-cg-surg-105Corneal Collagen Cross-Linking
290. empire-blue-cg-surg-106Venous Angioplasty with or without Stent Placement or Venous Stenting Alone
291. empire-blue-cg-surg-107Surgical and Minimally Invasive Treatments for Benign Prostatic Hyperplasia (BPH)
292. empire-blue-cg-surg-108Stereotactic Radiofrequency Pallidotomy
293. empire-blue-cg-surg-11Surgical Treatment for Dupuytren's Contracture
294. empire-blue-cg-surg-110Lung Volume Reduction Surgery
295. empire-blue-cg-surg-111Open Sacroiliac Joint Fusion
296. empire-blue-cg-surg-112Carpal Tunnel Decompression Surgery
297. empire-blue-cg-surg-113Tonsillectomy with or without Adenoidectomy for Adults
298. empire-blue-cg-surg-114Ophthalmic use of Nd:YAG Laser for Posterior Capsulotomy
299. empire-blue-cg-surg-115Mechanical Embolectomy for Treatment of Stroke
300. empire-blue-cg-surg-116Surgical Treatment of Hyperhidrosis
301. empire-blue-cg-surg-12Penile Prosthesis Implantation
302. empire-blue-cg-surg-127Products for Wound Healing and Soft Tissue Grafting: Medically Necessary Uses
303. empire-blue-cg-surg-15Endometrial Ablation
304. empire-blue-cg-surg-17Trigger Point Injections
305. empire-blue-cg-surg-18Septoplasty
306. empire-blue-cg-surg-24Functional Endoscopic Sinus Surgery (FESS)
307. empire-blue-cg-surg-25Injection Treatment for Morton’s Neuroma
308. empire-blue-cg-surg-27Gender Affirming Surgery
309. empire-blue-cg-surg-28Transcatheter Uterine Artery Embolization
310. empire-blue-cg-surg-29Lumbar Discography
311. empire-blue-cg-surg-30Tonsillectomy for Children with or without Adenoidectomy
312. empire-blue-cg-surg-31Treatment of Keloids and Scar Revision
313. empire-blue-cg-surg-34Diagnostic Hysteroscopy for Infertility
314. empire-blue-cg-surg-35Intracytoplasmic Sperm Injection (ICSI)
315. empire-blue-cg-surg-36Adenoidectomy
316. empire-blue-cg-surg-37Destruction of Pre-Malignant Skin Lesions
317. empire-blue-cg-surg-40Cataract Removal Surgery for Adults
318. empire-blue-cg-surg-41Surgical Strabismus Correction
319. empire-blue-cg-surg-46Myringotomy and Tympanostomy Tube Insertion
320. empire-blue-cg-surg-49Endovascular Techniques (Percutaneous or Open Exposure) for Arterial Revascularization of…
321. empire-blue-cg-surg-50Assistant Surgeons
322. empire-blue-cg-surg-51Outpatient Cystourethroscopy
323. empire-blue-cg-surg-52Site of Care: Hospital-Based Ambulatory Surgical Procedures and Endoscopic Services
324. empire-blue-cg-surg-55Cardiac Electrophysiological Studies (EPS) and Catheter Ablation
325. empire-blue-cg-surg-56Diagnostic Fiberoptic Flexible Laryngoscopy
326. empire-blue-cg-surg-57Diagnostic Nasal Endoscopy
327. empire-blue-cg-surg-58Radioactive Seed Localization of Nonpalpable Breast Lesions
328. empire-blue-cg-surg-59Vena Cava Filters
329. empire-blue-cg-surg-61Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside…
330. empire-blue-cg-surg-63Cardiac Resynchronization Therapy with or without an Implantable Cardioverter…
331. empire-blue-cg-surg-70Gastric Electrical Stimulation
332. empire-blue-cg-surg-71Reduction Mammaplasty
333. empire-blue-cg-surg-72Endothelial Keratoplasty
334. empire-blue-cg-surg-73Balloon Sinus Ostial Dilation
335. empire-blue-cg-surg-75Transanal Endoscopic Microsurgical (TEM) Excision of Rectal Lesions
336. empire-blue-cg-surg-76Carotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty
337. empire-blue-cg-surg-77Refractive Surgery
338. empire-blue-cg-surg-78Locoregional Techniques for Treating Primary and Metastatic Liver Malignancies
339. empire-blue-cg-surg-79Implantable Infusion Pumps
340. empire-blue-cg-surg-81Cochlear Implants and Auditory Brainstem Implants
341. empire-blue-cg-surg-82Bone-Anchored and Bone Conduction Hearing Aids
342. empire-blue-cg-surg-83Bariatric Surgery and Other Treatments for Clinically Severe Obesity
343. empire-blue-cg-surg-84Mandibular/Maxillary (Orthognathic) Surgery
344. empire-blue-cg-surg-85Hip Resurfacing
345. empire-blue-cg-surg-86Endovascular/Endoluminal Repair of Aortic Aneurysms, Aortoiliac Disease, Aortic Dissection…
346. empire-blue-cg-surg-87Nasal Surgery for the Treatment of Obstructive Sleep Apnea and Snoring
347. empire-blue-cg-surg-88Mastectomy for Gynecomastia
348. empire-blue-cg-surg-89Radiofrequency Neurolysis and Pulsed Radiofrequency Therapy for Trigeminal Neuralgia
349. empire-blue-cg-surg-90Mohs Micrographic Surgery
350. empire-blue-cg-surg-91Minimally Invasive Ablative Procedures for Epilepsy
351. empire-blue-cg-surg-92Paraesophageal Hernia Repair
352. empire-blue-cg-surg-93Angiographic Evaluation and Endovascular Intervention for Dialysis Access Circuit…
353. empire-blue-cg-surg-94Keratoprosthesis
354. empire-blue-cg-surg-95Sacral Nerve Stimulation and Percutaneous or Implantable Tibial Nerve Stimulation for…
355. empire-blue-cg-surg-96Intraocular Telescope
356. empire-blue-cg-surg-97Cardioverter Defibrillators
357. empire-blue-cg-surg-98Prostate Biopsy using MRI Fusion Techniques
358. empire-blue-cg-surg-99Panniculectomy and Abdominoplasty
359. empire-blue-cg-ther-rad-07Intravascular Coronary and Non-Coronary Brachytherapy
360. empire-blue-cg-trans-02Kidney Transplantation
361. empire-blue-cg-trans-03Donor Lymphocyte Infusion for Hematologic Malignancies after Allogeneic Hematopoietic…
362. empire-blue-dme-00011Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and…
363. empire-blue-dme-00012Intrapulmonary Percussive Ventilation Devices
364. empire-blue-dme-00022Functional Electrical Stimulation (FES); Threshold Electrical Stimulation (TES)
365. empire-blue-dme-00025Self-Operated Spinal Unloading Devices
366. empire-blue-dme-00030Altered Auditory Feedback Devices for Fluency Disorders
367. empire-blue-dme-00032Automated External Defibrillators for Home Use
368. empire-blue-dme-00037Cooling Devices and Combined Cooling/Heating Devices
369. empire-blue-dme-00038Static Progressive Stretch (SPS) and Patient-Actuated Serial Stretch (PASS) Devices
370. empire-blue-dme-00041Ultrasonic Diathermy Devices
371. empire-blue-dme-00042Electronic Positional Devices for the Treatment of Obstructive Sleep Apnea
372. empire-blue-dme-00043Neuromuscular Electrical Training for the Treatment of Obstructive Sleep Apnea or Snoring
373. empire-blue-dme-00044Robotic Arm Assistive Devices
374. empire-blue-dme-00046Intermittent Abdominal Pressure Ventilation Devices
375. empire-blue-dme-00047Rehabilitative Devices with Remote Monitoring
376. empire-blue-dme-00048Virtual Reality-Assisted Therapy Systems
377. empire-blue-dme-00049External Upper Limb Stimulation for the Treatment of Tremors
378. empire-blue-dme-00050Remote Devices for Intermittent Monitoring of Intraocular Pressure
379. empire-blue-dme-00052Brain Computer Interface Rehabilitation Devices
380. empire-blue-gene-00009Gene Expression Profiling and Genomic Biomarker Tests for Prostate Cancer
381. empire-blue-gene-00010Panel and other Multi-Gene Testing for Polymorphisms to Determine Drug-Metabolizer Status
382. empire-blue-gene-00016Gene Expression Profiling for Colorectal Cancer
383. empire-blue-gene-00018Gene Expression Profiling for Cancers of Unknown Primary Site
384. empire-blue-gene-00020Gene Expression Profile Tests for Multiple Myeloma
385. empire-blue-gene-00023Gene Expression Profiling of Melanomas and Cutaneous Squamous Cell Carcinoma
386. empire-blue-gene-00025Proteogenomic Testing for the Evaluation of Malignancies
387. empire-blue-gene-00041Genetic Testing to Confirm the Identity of Laboratory Specimens
388. empire-blue-gene-00049Circulating Tumor DNA Panel Testing (Liquid Biopsy)
389. empire-blue-gene-00050Gene Expression Profiling for Coronary Artery Disease
390. empire-blue-gene-00051Bronchial Gene Expression Classification for the Diagnostic Evaluation of Lung Cancer
391. empire-blue-gene-00052Whole Genome Sequencing, Whole Exome Sequencing, Gene Panels, and Molecular Profiling
392. empire-blue-gene-00053Metagenomic Sequencing for Infectious Disease in the Outpatient Setting
393. empire-blue-gene-00054Paired DNA and Messenger RNA (mRNA) Genetic Testing to Detect, Diagnose and Manage Cancer
394. empire-blue-gene-00055Gene Expression Profiling for Risk Stratification of Inflammatory Bowel Disease (IBD)…
395. empire-blue-gene-00056Gene Expression Profiling for Bladder Cancer
396. empire-blue-gene-00057Gene Expression Profiling for Idiopathic Pulmonary Fibrosis
397. empire-blue-gene-00058TruGraf Blood Gene Expression Test for Transplant Monitoring
398. empire-blue-gene-00059Hybrid Personalized Molecular Residual Disease Testing for Cancer
399. empire-blue-lab-00003In Vitro Chemosensitivity Assays and In Vitro Chemoresistance Assays
400. empire-blue-lab-00011Selected Protein Biomarker Algorithmic Assays
401. empire-blue-lab-00015Detection of Circulating Tumor Cells
402. empire-blue-lab-00016Fecal Analysis Panels in the Diagnosis of Intestinal Disorders
403. empire-blue-lab-00019Proprietary Algorithms for Liver Fibrosis
404. empire-blue-lab-00024Immune Cell Function Assay
405. empire-blue-lab-00025Topographic Genotyping
406. empire-blue-lab-00026Systems Pathology and Multimodal Artificial Intelligence Testing for Cancerous and…
407. empire-blue-lab-00027Selected Blood, Serum and Cellular Allergy and Toxicity Tests
408. empire-blue-lab-00028Blood-based Biomarker Tests for Multiple Sclerosis
409. empire-blue-lab-00029Rupture of Membranes Testing in Pregnancy
410. empire-blue-lab-00030Measurement of Serum Concentrations of Monoclonal Antibody Drugs and Antibodies to…
411. empire-blue-lab-00031Advanced Lipoprotein Testing
412. empire-blue-lab-00033Protein Biomarkers for the Screening, Detection and Management of Prostate Cancer
413. empire-blue-lab-00034Serological Antibody Testing For Helicobacter Pylori
414. empire-blue-lab-00035Multi-biomarker Disease Activity Blood Tests for Rheumatoid Arthritis
415. empire-blue-lab-00036Multiplex Autoantigen Microarray Testing for Systemic Lupus Erythematosus
416. empire-blue-lab-00037Serologic Testing for Biomarkers of Irritable Bowel Syndrome (IBS)
417. empire-blue-lab-00038Cell-free DNA Testing to Aid in the Monitoring of Kidney Transplants for Rejection
418. empire-blue-lab-00039Combined Pathogen Identification and Drug Resistance Testing
419. empire-blue-lab-00040Serum Biomarker Tests for Risk of Preeclampsia
420. empire-blue-lab-00041Machine Learning Derived Probability Score for Rapid Kidney Function Decline
421. empire-blue-lab-00042Molecular Signature Test for Predicting Response to Tumor Necrosis Factor Inhibitor…
422. empire-blue-lab-00043Immune Biomarker Tests for Cancer
423. empire-blue-lab-00044Saliva-based Testing to Determine Drug-Metabolizer Status
424. empire-blue-lab-00045Selected Tests for the Evaluation and Management of Infertility
425. empire-blue-lab-00046Testing for Biochemical Markers for Alzheimer’s Disease
426. empire-blue-lab-00048Analysis of Urine Biomarkers for Chronic Pain Management
427. empire-blue-lab-00049Artificial Intelligence-Based Software for Prostate Cancer Detection
428. empire-blue-med-00002Selected Sleep Testing Services
429. empire-blue-med-00004Noninvasive Imaging Technologies for the Evaluation of Skin Lesions
430. empire-blue-med-00011Sensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State
431. empire-blue-med-00013Parenteral Antibiotics for the Treatment of Lyme Disease
432. empire-blue-med-00024Adoptive Immunotherapy and Cellular Therapy
433. empire-blue-med-00053Non-Invasive Measurement of Left Ventricular End Diastolic Pressure in the Outpatient…
434. empire-blue-med-00055Wearable Cardioverter Defibrillators
435. empire-blue-med-00057MRI Guided High Intensity Focused Ultrasound Ablation for Non-Oncologic Indications
436. empire-blue-med-00059Idiopathic Environmental Illness (IEI)
437. empire-blue-med-00082Quantitative Sensory Testing
438. empire-blue-med-00087Optical Detection for Screening and Identification of Cervical Cancer
439. empire-blue-med-00089Quantitative Muscle Testing Devices
440. empire-blue-med-00090Wireless Capsule for the Evaluation of Suspected Gastric and Intestinal Motility Disorders
441. empire-blue-med-00091Rhinophototherapy
442. empire-blue-med-00092Automated Nerve Conduction Testing
443. empire-blue-med-00096Low-Frequency Ultrasound Therapy for Wound Management
444. empire-blue-med-00097Neural Therapy
445. empire-blue-med-00098Hyperoxemic Reperfusion Therapy
446. empire-blue-med-00101Physiologic Recording of Tremor using Accelerometer(s) and Gyroscope(s)
447. empire-blue-med-00102Ultrafiltration in Decompensated Heart Failure
448. empire-blue-med-00103Automated Evacuation of Meibomian Gland
449. empire-blue-med-00104Non-invasive Measurement of Advanced Glycation End Products (AGEs) in the Skin
450. empire-blue-med-00105Bioimpedance Spectroscopy Devices for the Detection and Management of Lymphedema
451. empire-blue-med-00110Silver-based Products for Wound and Soft Tissue Applications
452. empire-blue-med-00111Intracardiac Ischemia Monitoring
453. empire-blue-med-00112Autonomic Testing
454. empire-blue-med-00115Outpatient Cardiac Hemodynamic Monitoring Using a Wireless Sensor for Heart Failure…
455. empire-blue-med-00116Near-Infrared Spectroscopy Scanning for Brain Hematoma Screening
456. empire-blue-med-00118Continuous Monitoring of Intraocular Pressure
457. empire-blue-med-00120Gene Therapy for Ocular Conditions
458. empire-blue-med-00122Wilderness Programs
459. empire-blue-med-00125Biofeedback and Neurofeedback
460. empire-blue-med-00128Insulin Potentiation Therapy
461. empire-blue-med-00129Gene Therapy for Spinal Muscular Atrophy
462. empire-blue-med-00130Surface Electromyography and Electrodermal Activity Sensor Devices for Seizure Monitoring
463. empire-blue-med-00131Electronic Home Visual Field Monitoring
464. empire-blue-med-00132Autologous Adipose-derived Regenerative Cell Therapy
465. empire-blue-med-00133Ingestion Event Monitors
466. empire-blue-med-00134Non-invasive Heart Failure and Arrhythmia Management and Monitoring Systems
467. empire-blue-med-00135Gene Therapy for Hemophilia
468. empire-blue-med-00137Eye Movement Analysis Using Non-spatial Calibration for the Diagnosis of Concussion
469. empire-blue-med-00138Wearable Devices for Stress Relief and Management
470. empire-blue-med-00139Electrical Impedance Scanning for Cancer Detection
471. empire-blue-med-00140Gene Therapy for Beta Thalassemia
472. empire-blue-med-00141High-volume Colonic Irrigation
473. empire-blue-med-00142Gene Therapy for Cerebral Adrenoleukodystrophy
474. empire-blue-med-00143Ingestible Devices for the Treatment of Constipation
475. empire-blue-med-00148Gene Therapy for Metachromatic Leukodystrophy
476. empire-blue-or-pr-00003Microprocessor Controlled Lower Limb Prosthesis
477. empire-blue-or-pr-00005Upper Extremity Myoelectric Orthoses
478. empire-blue-or-pr-00006Powered Robotic Lower Body Exoskeleton Devices
479. empire-blue-or-pr-00007Microprocessor Controlled Knee-Ankle-Foot Orthosis
480. empire-blue-rad-00034Dynamic Spinal Visualization (Including Digital Motion X-ray and Cineradiography/…
481. empire-blue-rad-00036MRI of the Breast
482. empire-blue-rad-00038Use of 3-D, 4-D or 5-D Ultrasound in Maternity Care
483. empire-blue-rad-00044Magnetic Resonance Neurography
484. empire-blue-rad-00052Positional MRI
485. empire-blue-rad-00053Cervical and Thoracic Discography
486. empire-blue-rad-00057Near-Infrared Coronary Imaging and Near-Infrared Intravascular Ultrasound Coronary Imaging
487. empire-blue-rad-00059Catheter-based Embolization Procedures for Malignant Lesions Outside the Liver
488. empire-blue-rad-00061PET/MRI
489. empire-blue-rad-00063Magnetization-Prepared Rapid Acquisition Gradient Echo Magnetic Resonance Imaging (MPRAGE…
490. empire-blue-rad-00064Myocardial Sympathetic Innervation Imaging with or without Single-Photon Emission Computed…
491. empire-blue-rad-00065Radiostereometric Analysis (RSA)
492. empire-blue-rad-00067Quantitative Ultrasound for Tissue Characterization
493. empire-blue-surg-00005Partial Left Ventriculectomy
494. empire-blue-surg-00007Vagus Nerve Stimulation
495. empire-blue-surg-00008Mechanized Spinal Distraction Therapy
496. empire-blue-surg-00010Treatments for Urinary Incontinence
497. empire-blue-surg-00011Products for Wound Healing and Soft Tissue Grafting: Investigational
498. empire-blue-surg-00019Transmyocardial Revascularization
499. empire-blue-surg-00023Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures
500. empire-blue-surg-00026Deep Brain, Cortical, and Cerebellar Stimulation
501. empire-blue-surg-00032Patent Foramen Ovale and Left Atrial Appendage Closure Devices
502. empire-blue-surg-00036Fetal Surgery for Prenatally Diagnosed Malformations
503. empire-blue-surg-00037Treatment of Varicose Veins (Lower Extremities)
504. empire-blue-surg-00043Electrothermal Shrinkage of Joint Capsules, Ligaments, and Tendons
505. empire-blue-surg-00044Breast Ductal Examination and Fluid Cytology Analysis
506. empire-blue-surg-00045Extracorporeal Shock Wave Therapy
507. empire-blue-surg-00047Transendoscopic Therapy for Gastroesophageal Reflux Disease, Dysphagia or Gastroparesis
508. empire-blue-surg-00052Percutaneous Vertebral Disc Procedures
509. empire-blue-surg-00053Unicondylar Interpositional Spacer
510. empire-blue-surg-00056Transanal Radiofrequency Treatment of Fecal Incontinence
511. empire-blue-surg-00061Presbyopia and Astigmatism-Correcting Intraocular Lenses
512. empire-blue-surg-00062Vein Embolization as a Treatment for Pelvic Congestion Syndrome and Varicocele
513. empire-blue-surg-00070Photocoagulation of Macular Drusen
514. empire-blue-surg-00071Percutaneous and Endoscopic Spinal Surgery
515. empire-blue-surg-00072Lysis of Epidural Adhesions
516. empire-blue-surg-00073Epiduroscopy
517. empire-blue-surg-00075Intervertebral Stabilization Devices
518. empire-blue-surg-00076Nerve Graft after Prostatectomy
519. empire-blue-surg-00077Uterine Fibroid Ablation: Laparoscopic, Percutaneous or Transcervical Image Guided…
520. empire-blue-surg-00079Nasal Valve Repair
521. empire-blue-surg-00084Implantable Middle Ear Hearing Aids
522. empire-blue-surg-00088Coblation® Therapies for Musculoskeletal Conditions
523. empire-blue-surg-00089Self-Expanding Absorptive Sinus Ostial Dilation
524. empire-blue-surg-00092Implanted Devices for Spinal Stenosis
525. empire-blue-surg-00095Viscocanalostomy and Canaloplasty
526. empire-blue-surg-00096Surgical and Ablative Treatments for Chronic Headaches
527. empire-blue-surg-00097Scoliosis Surgery
528. empire-blue-surg-00099Convection-Enhanced Delivery of Therapeutic Agents to the Brain
529. empire-blue-surg-00100Cryoablation for Plantar Fasciitis and Plantar Fibroma
530. empire-blue-surg-00102Artificial Anal Sphincter for the Treatment of Severe Fecal Incontinence
531. empire-blue-surg-00103Intraocular Anterior Segment Aqueous Drainage Devices (without extraocular reservoir)
532. empire-blue-surg-00104Extraosseous Subtalar Joint Implantation and Subtalar Arthroereisis
533. empire-blue-surg-00105Bicompartmental Knee Arthroplasty
534. empire-blue-surg-00107Prostate Saturation Biopsy
535. empire-blue-surg-00111Axial Lumbar Interbody Fusion
536. empire-blue-surg-00112Implantation of Occipital, Supraorbital or Trigeminal Nerve Stimulation Devices (and…
537. empire-blue-surg-00113Artificial Retinal Devices
538. empire-blue-surg-00114Facet Joint Allograft Implants for Facet Disease
539. empire-blue-surg-00116High Resolution Anoscopy Screening for Anal Intraepithelial Neoplasia (AIN) and Squamous…
540. empire-blue-surg-00118Bronchial Thermoplasty
541. empire-blue-surg-00119Endobronchial Valve Devices
542. empire-blue-surg-00120Internal Rib Fixation Systems
543. empire-blue-surg-00121Transcatheter Heart Valve Procedures
544. empire-blue-surg-00123Transmyocardial/Perventricular Device Closure of Ventricular Septal Defects
545. empire-blue-surg-00124Carotid Sinus Baroreceptor Stimulation Devices
546. empire-blue-surg-00125Radiofrequency and Pulsed Radiofrequency Treatment of Trigger Point Pain
547. empire-blue-surg-00126Irreversible Electroporation
548. empire-blue-surg-00128Implantable Left Atrial Hemodynamic Monitor
549. empire-blue-surg-00129Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or…
550. empire-blue-surg-00130Annulus Closure After Discectomy
551. empire-blue-surg-00131Lower Esophageal Sphincter Augmentation Devices
552. empire-blue-surg-00132Drug-Eluting Devices for Maintaining Sinus Ostial Patency
553. empire-blue-surg-00134Interspinous Process Fixation Devices
554. empire-blue-surg-00135Renal Sympathetic Nerve Ablation
555. empire-blue-surg-00138Laser Treatment for Onychomycosis
556. empire-blue-surg-00139Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery with…
557. empire-blue-surg-00140Peripheral Nerve Blocks for Treatment of Neuropathic Pain
558. empire-blue-surg-00141Doppler-Guided Transanal Hemorrhoidal Dearterialization
559. empire-blue-surg-00142Genicular Procedures for Treatment of Knee Pain
560. empire-blue-surg-00144Occipital and Sphenopalatine Ganglion Nerve Block Therapy for the Treatment of Headache…
561. empire-blue-surg-00145Mechanical Circulatory Assist Devices (Ventricular Assist Devices, Percutaneous…
562. empire-blue-surg-00146Extracorporeal Carbon Dioxide Removal
563. empire-blue-surg-00147Synthetic Cartilage Implant for Metatarsophalangeal Joint Disorders
564. empire-blue-surg-00148Spectral Analysis of Prostate Tissue by Fluorescence Spectroscopy
565. empire-blue-surg-00149Percutaneous Ultrasonic Ablation of Soft Tissue
566. empire-blue-surg-00150Leadless Pacemaker
567. empire-blue-surg-00151Balloon Dilation of the Eustachian Tubes
568. empire-blue-surg-00152Wireless Left Ventricular Pacing for Cardiac Resynchronization Therapy
569. empire-blue-surg-00153Cardiac Contractility Modulation Therapy
570. empire-blue-surg-00154Microsurgical Procedures for the Prevention or Treatment of Lymphedema
571. empire-blue-surg-00155Cryoneurolysis
572. empire-blue-surg-00156Implanted Artificial Iris Devices
573. empire-blue-surg-00157Minimally Invasive Treatment of the Posterior Nasal Nerve to Treat Rhinitis
574. empire-blue-surg-00158Implantable Peripheral Nerve Stimulation Devices as a Treatment for Pain
575. empire-blue-surg-00159Focal Laser Ablation for the Treatment of Prostate Cancer
576. empire-blue-surg-00160Implanted Port Delivery Systems to Treat Ocular Disease
577. empire-blue-ther-rad-00008Neutron Beam Radiotherapy
578. empire-blue-ther-rad-00012Electrophysiology-Guided Noninvasive Stereotactic Cardiac Radioablation
579. empire-blue-trans-00004Cell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft)
580. empire-blue-trans-00008Liver Transplantation
581. empire-blue-trans-00009Lung and Lobar Transplantation
582. empire-blue-trans-00010Autologous and Allogeneic Pancreatic Islet Cell Transplantation
583. empire-blue-trans-00011Pancreas Transplantation and Pancreas Kidney Transplantation
584. empire-blue-trans-00013Small Bowel, Small Bowel/Liver and Multivisceral Transplantation
585. empire-blue-trans-00016Umbilical Cord Blood Progenitor Cell Collection, Storage and Transplantation
586. empire-blue-trans-00023Hematopoietic Stem Cell Transplantation for Multiple Myeloma and Other Plasma Cell…
587. empire-blue-trans-00024Hematopoietic Stem Cell Transplantation for Select Leukemias and Myelodysplastic Syndrome
588. empire-blue-trans-00025Laboratory Testing as an Aid in the Diagnosis of Heart Transplant Rejection
589. empire-blue-trans-00026Heart/Lung Transplantation
590. empire-blue-trans-00027Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors
591. empire-blue-trans-00028Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin Lymphoma
592. empire-blue-trans-00029Hematopoietic Stem Cell Transplantation for Genetic Diseases and Aplastic Anemias
593. empire-blue-trans-00030Hematopoietic Stem Cell Transplantation for Germ Cell Tumors
594. empire-blue-trans-00031Hematopoietic Stem Cell Transplantation for Autoimmune Disease and Miscellaneous Solid…
595. empire-blue-trans-00033Heart Transplantation
596. empire-blue-trans-00034Hematopoietic Stem Cell Transplantation for Diabetes Mellitus
597. empire-blue-trans-00035Therapeutic use of Stem Cells, Blood and Bone Marrow Products
598. empire-blue-trans-00037Uterine Transplantation
599. empire-blue-trans-00038Thymus Tissue Transplantation
600. empire-blue-trans-00039Portable Normothermic Organ Perfusion Systems
601. empire-blue-trans-00040Hand Transplantation
602. united-healthcare-2020r0117aWrong Surgical or Other Invasive Procedures Policy, Professional and Facility…
603. united-healthcare-2020r0120aModifier SU Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial and…
604. united-healthcare-2020r0120cModifier SU Policy, Professional - Reimbursement Policy - UnitedHealthcare Community Plan
605. united-healthcare-2020r0130aIntensity Modulated Radiation Therapy Policy, Professional - Reimbursement Policy…
606. united-healthcare-2020r3003aStandby Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial…
607. united-healthcare-2020r6006bAcupuncture Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial and…
608. united-healthcare-2021f7022aEmergency Room Services Policy, Facility (Virginia) - Reimbursement Policy…
609. united-healthcare-2021r0038bMicrosurgery Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial…
610. united-healthcare-2021r0044aAfter Hours and Weekend Care Policy, Professional - Reimbursement Policy…
611. united-healthcare-2021r0092dRadioallergosorbent (RAST) Type Tests Policy, Professional Reimbursement Policy…
612. united-healthcare-2021r0107cT Status Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial…
613. united-healthcare-2021r0109eDurable Medical Equipment, Orthotics and Prosthetics Policy, Professional - Reimbursement…
614. united-healthcare-2021r0112bNonphysician Health Care Professionals Billing Evaluation and Management Codes Policy…
615. united-healthcare-2021r0114aRobotic Assisted Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare…
616. united-healthcare-2021r0117aWrong Surgical or Other Invasive Procedures Policy, Professional and Facility…
617. united-healthcare-2021r0126bPediatric and Neonatal Critical and Intensive Care Services Policy, Professional…
618. united-healthcare-2021r5000bAssistant-at-Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare…
619. united-healthcare-2021r5008aIntraoperative Neuromonitoring Policy, Professional - Reimbursement Policy…
620. united-healthcare-2021r5008dIntraoperative Neuromonitoring Policy, Professional - Reimbursement Policy…
621. united-healthcare-2021r6012bOutpatient Hospital Blood and Blood Products Policy Facility - Reimbursement Policy…
622. united-healthcare-2021r7103bOrthotics (L3000) Policy, Professional - Reimbursement Policy - UnitedHealthcare Community…
623. united-healthcare-2021r7112cObstetrical Ultrasound Policy, Professional - Exchange
624. united-healthcare-2021r7124aAdvanced Practice Health Care Provider Policy, Professional - UnitedHealthcare Community…
625. united-healthcare-2021r7127aEmergency Room Services Policy, Professional (Virginia) - Reimbursement Policy…
626. united-healthcare-2021r9004aIncident To Services, Professional - Reimbursement Policy - UnitedHealthcare Medicare…
627. united-healthcare-2021r9026bNonphysician Health Care Professionals Billing Evaluation and Management, Professional…
628. united-healthcare-2021r9035aSplit Surgical Package Policy, Professional - Reimbursement Policy - UnitedHealthcare…
629. united-healthcare-2021r9038bAssistant-at-Surgery Services Policy, Professional - Reimbursement Policy…
630. united-healthcare-2021t0219uCore Decompression for Avascular Necrosis - Commercial and Individual Exchange Medical…
631. united-healthcare-2021t0247sLithotripsy for Salivary Stones - Commercial and Individual Exchange Medical Policy
632. united-healthcare-2021t0314uSensory Integration Therapy and Auditory Integration Training - Commercial and Individual…
633. united-healthcare-2021t0372tNerve Graft to Restore Erectile Function During Radical Prostatectomy - Commercial and…
634. united-healthcare-2021t0384wTotal Artificial Heart and Ventricular Assist Devices - Commercial and Individual Exchange…
635. united-healthcare-2021t0400qVirtual Upper Gastrointestinal Endoscopy - Commercial and Individual Exchange Medical…
636. united-healthcare-2021t0408qUnicondylar Spacer Devices for Treatment of Pain or Disability - Commercial and Individual…
637. Neurophysiologic Testing and Monitoring - Commercial and Individual Exchange Medical…
638. united-healthcare-2021t0542qBronchial Thermoplasty - Commercial and Individual Exchange Medical Policy
639. united-healthcare-2021t0581hPercutaneous Vertebroplasty and Kyphoplasty - Commercial and Individual Exchange Medical…
640. united-healthcare-2021t0582hElectric Tumor Treatment Field Therapy - Commercial and Individual Exchange Medical Policy
641. united-healthcare-2021t0598dGenetic Testing for Neuromuscular Disorders - Commercial and Individual Exchange Medical…
642. united-healthcare-2021t0599dComputer-Assisted Surgical Navigation for Musculoskeletal Procedures - Commercial and…
643. Rituximab (Riabni®, Rituxan®, Ruxience®, & Truxima®) - Commercial Medical Benefit Drug…
644. Infliximab (Avsola®, Inflectra®, Remicade®, & Renflexis®) - Commercial Medical Benefit…
645. united-healthcare-2022d0005zSynagis® (Palivizumab) - Commercial Medical Benefit Drug Policy
646. Evkeeza® (Evinacumab-Dgnb) - Commercial Medical Benefit Drug Policy
647. Amondys 45® (Casimersen) - Commercial Medical Benefit Drug Policy
648. Intracanalicular and Intravitreal Corticosteroid Implants - Commercial Medical Benefit…
649. Vyvgart™ (Efgartigimod Alfa-Fcab) – Commercial Medical Benefit Drug Policy
650. Provider Administered Drugs - Preferred Products - Commercial Medical Benefit Drug Policy
651. Medical Benefit Therapeutic Equivalent Medications - Excluded Drugs - Commercial Medical…
652. Korsuva® (Difelikefalin) - Commercial Medical Benefit Drug Policy
653. Botulinum Toxins A and B - Commercial Medical Benefit Drug Policy
654. united-healthcare-2022d0023uLemtrada® (Alemtuzumab) - Commercial Medical Benefit Drug Policy
655. united-healthcare-2022d0026nTysabri® (Natalizumab) - Commercial Medical Benefit Drug Policy
656. united-healthcare-2022d0028uErythropoiesis-Stimulating Agents - Commercial Medical Benefit Drug Policy
657. united-healthcare-2022d0031qPreventive Vaccines (Immunizations) - Commercial Medical Benefit Drug Policy
658. united-healthcare-2022d0033wXolair® (Omalizumab) - Commercial Medical Benefit Drug Policy
659. united-healthcare-2022d0037pRepository Corticotropin Injections - Commercial Medical Benefit Drug Policy
660. united-healthcare-2022d0038sGonadotropin Releasing Hormone Analogs - Commercial Medical Benefit Drug Policy
661. united-healthcare-2022d0039rOrencia® (Abatacept) Injection for Intravenous Infusion - Commercial Medical Benefit Drug…
662. united-healthcare-2022d0040q17-Alpha-Hydroxyprogesterone Caproate (Makena® and 17P) - Commercial Medical Benefit Drug…
663. Ophthalmologic Vascular Endothelial Growth Factor (VEGF) Inhibitors - Commercial Medical…
664. united-healthcare-2022d0043tActemra® (Tocilizumab) Injection for Intravenous Infusion - Commercial Medical Benefit…
665. united-healthcare-2022d0044mHereditary Angioedema (HAE), Treatment and Prophylaxis - Commercial Medical Benefit Drug…
666. Clotting Factors, Coagulant Blood Products, & Other Hemostatics - Commercial Medical…
667. united-healthcare-2022d0048lIntravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease - Commercial Medical…
668. united-healthcare-2022d0049uComplement Inhibitors - Commercial Medical Benefit Drug Policy
669. united-healthcare-2022d0052uMedical Therapies for Enzyme Deficiencies - Commercial Medical Benefit Drug Policy
670. united-healthcare-2022d0053mEntyvio® (Vedolizumab) - Commercial Medical Benefit Drug Policy
671. united-healthcare-2022d0054jOff-Label/Unproven Specialty Drug Treatment - Commercial Medical Benefit Drug Policy
672. united-healthcare-2022d0055pRespiratory Interleukins (Cinqair®, Fasenra®, & Nucala®) - Commercial Medical Benefit Drug…
673. united-healthcare-2022d0056jOcrevus® (Ocrelizumab) and Ocrevus Zunovo™ (Ocrelizumab and Hyaluronidase-Ocsq)…
674. united-healthcare-2022d0057mBuprenorphine (Probuphine® & Sublocade®) – Commercial Medical Benefit Drug Policy
675. united-healthcare-2022d0058jExondys 51® (Eteplirsen) - Commercial Medical Benefit Drug Policy
676. united-healthcare-2022d0059jSpinraza® (Nusinersen) - Commercial Medical Benefit Drug Policy
677. united-healthcare-2022d0060fReview at Launch for New to Market Medications - Commercial Medical Benefit Drug Policy
678. united-healthcare-2022d0061vWhite Blood Cell Colony Stimulating Factors - Commercial Medical Benefit Drug Policy
679. united-healthcare-2022d0062iRadicava® (Edaravone) - Commercial Medical Benefit Drug Policy
680. united-healthcare-2022d0063gTrogarzo® (Ibalizumab-Uiyk) - Commercial Medical Benefit Drug Policy
681. united-healthcare-2022d0063hLuxturna® (Voretigene Neparvovec-Rzyl) - Commercial Medical Benefit Drug Policy
682. united-healthcare-2022d0065iBrineura® (Cerliponase Alfa) - Commercial Medical Benefit Drug Policy
683. united-healthcare-2022d0066hIlaris® (Canakinumab) - Commercial Medical Benefit Drug Policy
684. united-healthcare-2022d0067gAlpha1-Proteinase Inhibitors - Commercial Medical Benefit Drug Policy
685. united-healthcare-2022d0070dRyplazim® (Plasminogen, Human-Tvmh) - Commercial Medical Benefit Drug Policy
686. united-healthcare-2022d0071kCrysvita® (Burosumab-Twza) - Commercial Medical Benefit Drug Policy
687. united-healthcare-2022d0073gSelf-Administered Medications - Commercial Medical Benefit Drug Policy
688. united-healthcare-2022d0075fParsabiv® (Etelcalcetide) - Commercial Medical Benefit Drug Policy
689. united-healthcare-2022d0077gGamifant® (Emapalumab-Lzsg) - Commercial Medical Benefit Drug Policy
690. united-healthcare-2022d0079gZolgensma® (Onasemnogene Abeparvovec-Xioi) - Commercial Medical Benefit Drug Policy
691. united-healthcare-2022d0080fZulresso® (Brexanolone) - Commercial Medical Benefit Drug Policy
692. united-healthcare-2022d0081gSodium Hyaluronate - Commercial Medical Benefit Drug Policy
693. united-healthcare-2022d0082eKrystexxa® (Pegloticase) - Commercial Medical Benefit Drug Policy
694. united-healthcare-2022d0085fAdakveo® (Crizanlizumab-Tmca) - Commercial Medical Benefit Drug Policy
695. united-healthcare-2022d0087eGivlaari® (Givosiran) - Commercial Medical Benefit Drug Policy
696. united-healthcare-2022d0088dVyondys 53® (Golodirsen) - Commercial Medical Benefit Drug Policy
697. united-healthcare-2022d0089fTepezza® (Teprotumumab-Trbw) - Commercial Medical Benefit Drug Policy
698. united-healthcare-2022d0090gVyepti® (Eptinezumab-Jjmr) - Commercial Medical Benefit Drug Policy
699. united-healthcare-2022d0091eUplizna® (Inebilizumab-Cdon) - Commercial Medical Benefit Drug Policy
700. united-healthcare-2022d0092dScenesse® (Afamelanotide) - Commercial Medical Benefit Drug Policy
701. united-healthcare-2022d0095eViltepso® (Viltolarsen) - Commercial Medical Benefit Drug Policy
702. united-healthcare-2022d0100cEnjaymo® (Sutimlimab-Jome) - Commercial Medical Benefit Drug Policy
703. united-healthcare-2022d0108aAduhelm® (Aducanumab-Avwa) - Commercial Medical Benefit Drug Policy
704. united-healthcare-2022e0046oBenlysta® (Belimumab) - Commercial Medical Benefit Drug Policy
705. united-healthcare-2022f7001dReadmission Policy, Facility - Reimbursement Policy - UnitedHealthcare Community Plan
706. united-healthcare-2022f7002aProvider Preventable Conditions: Health Care Acquired Conditions and Present on Admission…
707. united-healthcare-2022f7005aNebraska Emergency Room Services Policy - Facility (Medicaid) - Reimbursement Policy…
708. united-healthcare-2022f7007aFacility Billing Policy, Facility - Reimbursement Policy - UnitedHealthcare Community Plan
709. united-healthcare-2022f7010cAppropriate Patient Discharge Status for Type of Bill Policy, Facility - Reimbursement…
710. united-healthcare-2022f7012aEmergency Room Ancillary Services Policy, Facility - Reimbursement Policy…
711. united-healthcare-2022f7015dRevenue Codes Requiring Procedure Codes Policy, Facility - Reimbursement Policy…
712. united-healthcare-2022f7018aNew Jersey Emergency Room Services Policy, Facility - Reimbursement Policy…
713. united-healthcare-2022f7019aFlorida Emergency Room Services Policy, Facility - UnitedHealthcare Community Plan of…
714. united-healthcare-2022r0002aSame Day/Same Service Policy, Professional - Reimbursement Policy - UnitedHealthcare…
715. united-healthcare-2022r0002bSame Day / Same Service Policy, Professional - Reimbursement Policy - UnitedHealthcare…
716. united-healthcare-2022r0003aProlonged Services Policy, Professional - Exchange
717. united-healthcare-2022r0006fSupply Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial and…
718. united-healthcare-2022r0013fPreventive Medicine and Screening Policy, Professional - Reimbursement Policy…
719. united-healthcare-2022r0044cAfter Hours and Weekend Care Policy, Professional - Reimbursement Policy…
720. united-healthcare-2022r0046aTelehealth and Telemedicine Policy, Professional - Exchange
721. united-healthcare-2022r0052aCo-Surgeon / Team Surgeon Policy, Professional - Reimbursement Policy - UnitedHealthcare…
722. united-healthcare-2022r0061aIncreased Procedural Services Policy, Professional - Reimbursement Policy…
723. united-healthcare-2022r0061bIncreased Procedural Services Policy, Professional - Reimbursement Policy…
724. united-healthcare-2022r0070bInjections into Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Policy…
725. united-healthcare-2022r0085aMultiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, Professional…
726. united-healthcare-2022r0085cMultiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, Professional…
727. united-healthcare-2022r0090dAudiologic Vestibular Function Testing Policy, Professional - Reimbursement Policy…
728. united-healthcare-2022r0098bPhysical Medicine & Rehabilitation: PT/OT and Evaluation and Management Codes Policy…
729. united-healthcare-2022r0100aB Bundle Codes Policy, Professional - Exchange
730. united-healthcare-2022r0101aPhysical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy…
731. united-healthcare-2022r0105aCCI Editing Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial…
732. united-healthcare-2022r0106aSplit Surgical Package Policy, Professional - Reimbursement Policy - UnitedHealthcare…
733. united-healthcare-2022r0107aT Status Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Community…
734. united-healthcare-2022r0108bUrgent Care Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial and…
735. united-healthcare-2022r0110aDiscontinued Procedure Policy, Professional - Reimbursement Policy - UnitedHealthcare…
736. united-healthcare-2022r0114aRobotic Assisted Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare…
737. united-healthcare-2022r0116aOnce in a Lifetime Procedures Policy, Professional - Reimbursement Policy…
738. united-healthcare-2022r0118aOne or More Sessions Policy, Professional - Reimbursement Policy - UnitedHealthcare…
739. united-healthcare-2022r0120aModifier SU Policy, Professional - Exchange
740. united-healthcare-2022r0121aPhysical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction Policy…
741. united-healthcare-2022r0123cAmbulance Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial and…
742. united-healthcare-2022r0124aServices and Modifiers Not Reimbursable to Health Care Professionals, Professional…
743. united-healthcare-2022r0125bMultiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and…
744. united-healthcare-2022r0125cMultiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and…
745. united-healthcare-2022r0128aReplacement Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Community…
746. united-healthcare-2022r0129bConsultation Services Policy, Professional - Reimbursement Policy - UnitedHealthcare…
747. united-healthcare-2022r0130aIntensity Modulated Radiation Therapy Policy, Professional for Louisiana - Reimbursement…
748. united-healthcare-2022r013aIntensity Modulated Radiation Therapy Policy, Professional - Exchange
749. united-healthcare-2022r5013aOutpatient Hospital CCI Editing Policy, Facility - Reimbursement Policy - UnitedHealthcare…
750. united-healthcare-2022r5015bOutpatient Hospital Inappropriate Primary Diagnosis Codes Policy, Facility - Reimbursement…
751. united-healthcare-2022r5016aOutpatient Rehabilitation Therapy Service Policy, Facility - Reimbursement Policy…
752. united-healthcare-2022r5018aHospital Based Ambulance Policy, Facility - Reimbursement Policy - UnitedHealthcare…
753. united-healthcare-2022r5020bLaboratory Services Respiratory Viral Panel Testing Policy, Facility - Reimbursement…
754. united-healthcare-2022r5023bInpatient Readmission Review Policy, Facility - Reimbursement Policy - UnitedHealthcare…
755. united-healthcare-2022r5024aOutpatient From-to Date Policy, Facility - Reimbursement Policy - UnitedHealthcare…
756. united-healthcare-2022r5029aModifier Policy Facility - Reimbursement Policy - UnitedHealthcare Commercial and…
757. united-healthcare-2022r6000aClinical Laboratory Improvement Amendments (CLIA) ID Requirement - Reimbursement Policy…
758. united-healthcare-2022r6000bClinical Laboratory Improvement Amendments (CLIA) ID Requirement Policy, Professional…
759. united-healthcare-2022r6000cClinical Laboratory Improvement Amendments (CLIA) ID Requirement Policy, Professional…
760. united-healthcare-2022r6002aNational Drug Code (NDC) Requirement Professional and Facility Policy - UnitedHealthcare…
761. united-healthcare-2022r6003aEmergency Department (ED) Facility Evaluation and Management (E&M) Coding Policy…
762. united-healthcare-2022r6003cEmergency Department (ED) Facility Evaluation and Management (E&M) Coding Policy…
763. united-healthcare-2022r6004dDiscarded Drugs and Biologicals Policy, Professional and Facility - Reimbursement Policy…
764. united-healthcare-2022r6005aDrug Testing Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial…
765. united-healthcare-2022r6008aMohs Micrographic Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare…
766. united-healthcare-2022r6008bMohs Micrographic Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare…
767. united-healthcare-2022r6008cMohs Micrographic Surgery Policy, Professional - Exchange
768. united-healthcare-2022r6009cMolecular Pathology Policy, Professional - Reimbursement Policy - UnitedHealthcare…
769. united-healthcare-2022r6009dMolecular Pathology Policy, Professional - Reimbursement Policy - UnitedHealthcare…
770. united-healthcare-2022r6011bOutpatient Medical Visits Policy, Facility - Reimbursement Policy - UnitedHealthcare…
771. united-healthcare-2022r7104aOtoacoustic Emissions Testing Policy, Professional - Reimbursement Policy…
772. united-healthcare-2022r7105aDiabetic and Other Orthopedic Shoes Policy, Professional - Reimbursement Policy…
773. united-healthcare-2022r7114aAdjunct Services Policy, Professional - Reimbursement Policy - UnitedHealthcare Community…
774. united-healthcare-2022r7123eVitamin D Testing Policy, Professional - Reimbursement Policy - UnitedHealthcare Community…
775. united-healthcare-2022r7125bSexually Transmitted Infection Testing Policy, Professional and Facility - Reimbursement…
776. united-healthcare-2022r7126fNew Jersey Early Elective Delivery Policy, Professional and Facility - Reimbursement…
777. united-healthcare-2022r8100bClinical Diagnostic Lab Policy, Professional - Reimbursement Policy - UnitedHealthcare…
778. united-healthcare-2022r9003bMedicare Physician Fee Schedule Status Indicator, Professional - Reimbursement Policy…
779. united-healthcare-2022r9009aBilateral Procedures Policy, Professional - Reimbursement Policy - UnitedHealthcare…
780. united-healthcare-2022r9010aCo-Surgeon/Team Surgeon Policy, Professional - Reimbursement Policy - UnitedHealthcare…
781. united-healthcare-2022r9011aFrom - To Date Policy, Professional - Reimbursement Policy - UnitedHealthcare Medicare…
782. united-healthcare-2022r9014aHospital Acquired Conditions Policy, Facility - Reimbursement Policy - UnitedHealthcare…
783. united-healthcare-2022r9016aIntensity Modulated Radiation Therapy (IMRT) Policy, Professional and Facility…
784. united-healthcare-2022r9017bLaboratory Services Policy, Professional - Reimbursement Policy - UnitedHealthcare…
785. united-healthcare-2022r9018aMedically Unlikely Edits (MUE) Policy, Professional - Reimbursement Policy…
786. united-healthcare-2022r9021aMultiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy…
787. united-healthcare-2022r9024aNew Patient Visit Policy, Professional - Reimbursement Policy - UnitedHealthcare Medicare…
788. united-healthcare-2022r9027aObservation and Discharge Policy, Professional and Facility - Reimbursement Policy…
789. united-healthcare-2022r9029aProcedure and Place of Service, Professional - Reimbursement Policy - UnitedHealthcare…
790. united-healthcare-2022r9030bProcedure to Modifier Policy, Professional - Reimbursement Policy - UnitedHealthcare…
791. united-healthcare-2022r9032aRebundling and NCCI Edits, Professional - Reimbursement Policy - UnitedHealthcare Medicare…
792. united-healthcare-2022r9033aReduced Services and Discontinued Procedures Policy, Professional and Facility…
793. united-healthcare-2022r9037aSupply Policy, Professional - Reimbursement Policy - UnitedHealthcare Medicare Advantage…
794. united-healthcare-2022r9039aTelehealth and Telemedicine Policy, Professional - Reimbursement Policy - UnitedHealthcare…
795. united-healthcare-2022r9040bTime Span Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Medicare…
796. united-healthcare-2022r9044bMohs Micrographic Surgery Policy, Professional - Reimbursement Policy - UnitedHealthcare…
797. united-healthcare-2022r9046aServices Included in Facility Reimbursement Policy, Professional - Reimbursement Policy…
798. united-healthcare-2022r9048aInpatient Unacceptable Principal Diagnosis Policy, Facility - Reimbursement Policy…
799. united-healthcare-2022r9049bMolecular Pathology Policy, Professional and Facility - Reimbursement Policy…
800. united-healthcare-2022r9053aModifiers Not Reimbursable to Healthcare Professionals Policy, Professional…
801. united-healthcare-2022r9058aModifier Reference Policy, Professional Professional - UnitedHealthcare Medicare Advantage…
802. united-healthcare-2022r9060aOutpatient Hospital Inappropriate Primary Diagnosis Codes Policy, Facility - Reimbursement…
803. Facet Joint and Medial Branch Block Injections for Spinal Pain - Commercial and Individual…
804. united-healthcare-2022t0030yArticular Cartilage Defect Repairs – Commercial Medical Policy
805. united-healthcare-2022t0031zPlagiocephaly and Craniosynostosis Treatment - Commercial and Individual Exchange Medical…
806. united-healthcare-2022t0035xIntrauterine Fetal Surgery - Commercial and Individual Exchange Medical Policy
807. united-healthcare-2022t0051vChelation Therapy - Commercial and Individual Exchange Medical Policy
808. Airway Clearance Devices - Commercial and Individual Exchange Medical Policy
809. Cochlear Implants - Commercial and Individual Exchange Medical Policy
810. Treatment of Temporomandibular Joint Disorders - Commercial and Individual Exchange…
811. Occipital Nerve Injections and Ablation (Including Occipital Neuralgia and Headache)…
812. Vagus and External Trigeminal Nerve Stimulation - Commercial and Individual Exchange…
813. united-healthcare-2022t0105xDiscogenic Pain Treatment - Commercial and Individual Exchange Medical Policy
814. Ablative Treatment for Spinal Pain - Commercial and Individual Exchange Medical Policy
815. united-healthcare-2022t0109tUmbilical Cord Blood Harvesting and Storage for Future Use - Commercial and Individual…
816. Proton Beam Radiation Therapy - Commercial and Individual Exchange Medical Policy
817. united-healthcare-2022t0133xCorneal Hysteresis and Intraocular Pressure Measurement - Commercial and Individual…
818. Apheresis - Commercial and Individual Exchange Medical Policy
819. Cognitive Rehabilitation and Coma Stimulation - Commercial and Individual Exchange Medical…
820. united-healthcare-2022t0152xNeuropsychological Testing Under the Medical Benefit - Commercial and Individual Exchange…
821. united-healthcare-2022t0206vEpiduroscopy, Epidural Lysis of Adhesions, and Discography - Commercial and Individual…
822. united-healthcare-2022t0208vComputerized Dynamic Posturography - Commercial and Individual Exchange Medical Policy
823. Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue…
824. Infertility Diagnosis, Treatment, and Fertility Preservation - Commercial and Individual…
825. united-healthcare-2022t0320vComputed Tomographic Colonography - Commercial and Individual Exchange Medical Policy
826. Deep Brain and Cortical Stimulation - Commercial and Individual Exchange Medical Policy
827. Minimally Invasive Procedures for Gastric and Esophageal Diseases - Commercial and…
828. Attended Polysomnography for Evaluation of Sleep Disorders – Commercial Medical Policy
829. Cytological Examination of Breast Fluids for Cancer Screening or Diagnosis - Commercial…
830. united-healthcare-2022t0337xLight and Laser Therapy - Commercial and Individual Exchange Medical Policy
831. united-healthcare-2022t0341uAthletic Pubalgia Surgery - Commercial and Individual Exchange Medical Policy
832. united-healthcare-2022t0346uElectrical Bioimpedance for Cardiac Output Measurement – Commercial Medical Policy
833. Bariatric Surgery - Commercial and Individual Exchange Medical Policy
834. Breast Imaging for Screening and Diagnosing Cancer - Commercial and Individual Exchange…
835. united-healthcare-2022t0389vCardiovascular Disease Risk Tests - Commercial and Individual Exchange Medical Policy
836. united-healthcare-2022t0404wMacular Degeneration Treatment Procedures - Commercial and Individual Exchange Medical…
837. united-healthcare-2022t0407zIntensity-Modulated Radiation Therapy - Commercial and Individual Exchange Medical Policy
838. Spinal Fusion and Bone Healing Enhancement Products - Commercial and Individual Exchange…
839. united-healthcare-2022t0415xGastrointestinal Motility Disorders, Diagnosis and Treatment - Commercial and Individual…
840. united-healthcare-2022t0419sCollagen Crosslinks and Biochemical Markers of Bone Turnover - Commercial and Individual…
841. united-healthcare-2022t0434sFecal Calprotectin Testing - Commercial and Individual Exchange Medical Policy
842. Abnormal Uterine Bleeding and Uterine Fibroids - Commercial and Individual Exchange…
843. united-healthcare-2022t0445tImplantable Beta-Emitting Microspheres for Treatment of Malignant Tumors - Commercial and…
844. Surgical and Ablative Procedures for Venous Insufficiency and Varicose Veins - Commercial…
845. united-healthcare-2022t0448tThermography – Commercial Medical Policy
846. united-healthcare-2022t0462uDiagnostic Spinal Ultrasonography - Commercial and Individual Exchange Medical Policy
847. united-healthcare-2022t0476rHome Hemodialysis - Commercial and Individual Exchange Medical Policy
848. united-healthcare-2022t0481sMechanical Stretching Devices - Commercial and Individual Exchange Medical Policy
849. Cardiac Event Monitoring - Commercial and Individual Exchange Medical Policy
850. united-healthcare-2022t0498vProlotherapy and Platelet Rich Plasma Therapies - Commercial and Individual Exchange…
851. united-healthcare-2022t0503zSurgery of the Hip - Commercial and Individual Exchange Medical Policy
852. united-healthcare-2022t0515uManipulation Under Anesthesia - Commercial and Individual Exchange Medical Policy
853. Obstructive and Central Sleep Apnea Treatment - Commercial and Individual Exchange Medical…
854. united-healthcare-2022t0527nElectromagnetic Therapy for Wounds - Commercial and Individual Exchange Medical Policy
855. Omnibus Codes - Commercial and Individual Exchange Medical Policy
856. united-healthcare-2022t0536oTranscranial Magnetic Stimulation - Commercial and Individual Exchange Medical Policy
857. united-healthcare-2022t0541oManipulative Therapy - Commercial and Individual Exchange Medical Policy
858. united-healthcare-2022t0543oMeniscus Implant and Allograft – Commercial Medical Policy
859. united-healthcare-2022t0545pHome Traction Therapy - Commercial and Individual Exchange Medical Policy
860. united-healthcare-2022t0546oMotorized Spinal Traction - Commercial and Individual Exchange Medical Policy
861. Surgical Treatment for Spine Pain – Commercial Medical Policy
862. united-healthcare-2022t0551tSurgery of the Elbow - Commercial and Individual Exchange Medical Policy
863. united-healthcare-2022t0552rGenetic Testing for Cardiac Disease - Commercial and Individual Exchange Medical Policy
864. united-healthcare-2022t0553wSurgery of the Knee - Commercial and Individual Exchange Medical Policy
865. united-healthcare-2022t0556wSurgery of the Shoulder - Commercial and Individual Exchange Medical Policy
866. united-healthcare-2022t0557xTranscatheter Procedures for Heart Valve Conditions - Commercial and Individual Exchange…
867. united-healthcare-2022t0559vChromosome Microarray Testing (Non-Oncology Conditions) - Commercial and Individual…
868. united-healthcare-2022t0560zCell-Free Fetal DNA Testing - Commercial and Individual Exchange Medical Policy
869. united-healthcare-2022t0561pElectrical and Ultrasound Bone Growth Stimulators - Commercial and Individual Exchange…
870. united-healthcare-2022t0563oPneumatic Compression Devices - Commercial and Individual Exchange Medical Policy
871. united-healthcare-2022t0567vImplanted Electrical Stimulator for the Spinal Cord - Commercial and Individual Exchange…
872. united-healthcare-2022t0569kTranspupillary Thermotherapy - Commercial and Individual Exchange Medical Policy
873. united-healthcare-2022t0571lBalloon Sinus Ostial Dilation - Commercial and Individual Exchange Medical Policy
874. united-healthcare-2022t0572rHysterectomy - Commercial and Individual Exchange Medical Policy
875. united-healthcare-2022t0573jIntraoperative Hyperthermic Intraperitoneal Chemotherapy (HIPEC) - Commercial and…
876. united-healthcare-2022t0574lEmbolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome - Commercial…
877. united-healthcare-2022t0578lFunctional Endoscopic Sinus Surgery (FESS) - Commercial and Individual Exchange Medical…
878. united-healthcare-2022t0584iLaser Interstitial Thermal Therapy – Commercial Medical Policy
879. united-healthcare-2022t0586jCarrier Testing Panels for Genetic Diseases - Commercial and Individual Exchange Medical…
880. united-healthcare-2022t0589lWhole Exome and Whole Genome Sequencing (Non-Oncology Conditions) - Commercial and…
881. united-healthcare-2022t0592oSkin and Soft Tissue Substitutes - Commercial and Individual Exchange Medical Policy
882. united-healthcare-2022t0594fNegative Pressure Wound Therapy - Commercial and Individual Exchange Medical Policy
883. united-healthcare-2022t0596hVideo Electroencephalographic (vEEG) Monitoring and Recording - Commercial and Individual…
884. united-healthcare-2022t0597fPreimplantation Genetic Testing and Related Services - Commercial and Individual Exchange…
885. united-healthcare-2022t0604eGastrointestinal Pathogen Nucleic Acid Detection Panel Testing for Infectious Diarrhea…
886. united-healthcare-2022t0605dVertebral Body Tethering for Scoliosis - Commercial and Individual Exchange Medical Policy
887. united-healthcare-2022t0606cPercutaneous Patent Foramen Ovale (PFO) Closure - Commercial and Individual Exchange…
888. united-healthcare-2022t0607dInhaled Nitric Oxide Therapy - Commercial and Individual Exchange Medical Policy
889. united-healthcare-2022t0608gGenitourinary Pathogen Nucleic Acid Detection Panel Testing – Commercial Medical Policy
890. united-healthcare-2022t0612dAutologous Cellular Therapy - Commercial and Individual Exchange Medical Policy
891. united-healthcare-2022t0616eEpidural Steroid Injections for Spinal Pain - Commercial and Individual Exchange Medical…
892. united-healthcare-2022t0622eSurgery of the Ankle - Commercial and Individual Exchange Medical Policy
893. united-healthcare-2022t0623dSurgery of the Hand or Wrist - Commercial and Individual Exchange Medical Policy
894. united-healthcare-2022t0624eSurgery of the Foot - Commercial and Individual Exchange Medical Policy
895. united-healthcare-2022t0625cLiposuction for Lipedema - Commercial and Individual Exchange Medical Policy
896. united-healthcare-2022t0626eImplanted Spinal Drug Delivery Systems - Commercial and Individual Exchange Medical Policy
897. united-healthcare-2022t0627cSympathetic Blockade - Commercial and Individual Exchange Medical Policy
898. united-healthcare-2022t0631bVitamin D Testing – Commercial Medical Policy
899. united-healthcare-2022t0632aHyperbaric Oxygen Therapy and Topical Oxygen Therapy - Commercial and Individual Exchange…
900. united-healthcare-2022t0633aDiagnostic Dynamic Spinal Visualization and Vertebral Motion Analysis - Commercial and…
901. united-healthcare-2022t0636aSurgery for the Prevention and Treatment of Lymphedema - Commercial and Individual…
902. united-healthcare-2022t0637aLeft Atrial Appendage Closure (Occlusion) - Commercial and Individual Exchange Medical…
903. united-healthcare-2022t0642aWalkers - Commercial and Individual Exchange Medical Policy
904. united-healthcare-2022t0643aHospital Services: Observation and Inpatient - Commercial and Individual Exchange Medical…
905. united-healthcare-2022to521rNoncontact Warming Therapy, Ultrasound Therapy, and Fluorescence Imaging for Wounds…
906. Leqvio® (Inclisiran) - Commercial Medical Benefit Drug Policy
907. Long-Acting Injectable Antiretroviral Agents for HIV - Commercial Medical Benefit Drug…
908. Saphnelo® (Anifrolumab-Fnia) - Commercial Medical Benefit Drug Policy
909. Tezspire® (Tezepelumab-Ekko) - Commercial Medical Benefit Drug Policy
910. Skyrizi® (Risankizumab-Rzaa) - Commercial Medical Benefit Drug Policy
911. Tzield® (Teplizumab-Mzwv) - Commercial Medical Benefit Drug Policy
912. Spevigo® (Spesolimab-Sbzo) - Commercial Medical Benefit Drug Policy
913. Hemgenix® (Etranacogene Dezaparvovec-Drlb) - Commercial Medical Benefit Drug Policy
914. Leqembi® (Lecanemab-Irmb) - Commercial Medical Benefit Drug Policy
915. Oncology Medication Clinical Coverage - Commercial Medical Benefit Drug Policy
916. Maximum Dosage and Frequency - Commercial Medical Benefit Drug Policy
917. Immune Globulin (IVIG and SCIG) - Commercial Medical Benefit Drug Policy
918. united-healthcare-2023d0036rSomatostatin Analogs - Commercial Medical Benefit Drug Policy
919. united-healthcare-2023d0045vStelara® (Ustekinumab) - Commercial Medical Benefit Drug Policy
920. united-healthcare-2023d0051oSimponi Aria® (Golimumab) Injection for Intravenous Infusion - Commercial Medical Benefit…
921. united-healthcare-2023d0068jDenosumab - Commercial Medical Benefit Drug Policy
922. united-healthcare-2023d0069lKetalar® (Ketamine) and Spravato® (Esketamine) - Commercial Medical Benefit Drug Policy
923. united-healthcare-2023d0072jRNA-Targeted Therapies (Amvuttra® and Onpattro®) - Commercial Medical Benefit Drug Policy
924. united-healthcare-2023d0074hIlumya® (Tildrakizumab-Asmn) - Commercial Medical Benefit Drug Policy
925. united-healthcare-2023d0076fTestosterone Replacement or Supplementation Therapy - Commercial Medical Benefit Drug…
926. united-healthcare-2023d0078eSubcutaneous Implantable Naltrexone Pellets - Commercial Medical Benefit Drug Policy
927. united-healthcare-2023d0080fEvenity® (Romosozumab-Aqqg) - Commercial Medical Benefit Drug Policy
928. united-healthcare-2023d0083gCimzia® (Certolizumab Pegol) - Commercial Medical Benefit Drug Policy
929. united-healthcare-2023d0084gReblozyl® (Luspatercept-Aamt) - Commercial Medical Benefit Drug Policy
930. united-healthcare-2023d0088kIntravenous Iron Replacement Therapy (Feraheme®, Injectafer®, & Monoferric®) - Commercial…
931. united-healthcare-2023d0093eAntiemetics for Oncology - Commercial Medical Benefit Drug Policy
932. united-healthcare-2023d0094cRoctavian® (Valoctocogene Roxaparvovec-Rvox) - Commercial Medical Benefit Drug Policy
933. united-healthcare-2023d0099cXiaflex® (Collagenase Clostridium Histolyticum) - Commercial Medical Benefit Drug Policy
934. united-healthcare-2023d0102eOxlumo® (Lumasiran) and Rivfloza® (Nedosiran) - Commercial Medical Benefit Drug Policy
935. united-healthcare-2023f7002aProvider Preventable Conditions: Healthcare Acquired Conditions and Present on Admission…
936. united-healthcare-2023f7004aEmergency Room Services Policy - Facility (Tennessee) - Reimbursement Policy…
937. united-healthcare-2023f7007aFacility Billing Policy, Facility - Reimbursement Policy - UnitedHealthcare Individual…
938. united-healthcare-2023f7009cNon Covered and Covered Codes Policy, Facility - Reimbursement Policy - UnitedHealthcare…
939. united-healthcare-2023f7010aAppropriate Patient Discharge Status for Type of Bill Policy, Facility - Reimbursement…
940. united-healthcare-2023f7013aAdd-On Codes Policy, Facility - Reimbursement Policy - UnitedHealthcare Community Plan
941. united-healthcare-2023f7014aKansas Obstetrical Sonogram Policy, Facility - Reimbursement Policy - UnitedHealthcare…
942. united-healthcare-2023f7015aRevenue Codes Requiring Procedure Code Policy, Facility - Exchange
943. united-healthcare-2023f7016aObservation Services Policy, Facility - Reimbursement Policy - UnitedHealthcare Community…
944. united-healthcare-2023f7020bBilateral Procedure Policy, Facility - Reimbursement Policy - UnitedHealthcare Individual…
945. united-healthcare-2023f7021aOutpatient Hospital Inappropriate Primary Diagnosis Codes Policy, Facility - Reimbursement…
946. united-healthcare-2023r0002aSame Day/Same Service Policy, Professional - Exchange
947. united-healthcare-2023r0004aNew Patient Visit Policy, Professional-Exchange
948. united-healthcare-2023r0005bGlobal Days Policy, Professional - Exchange
949. united-healthcare-2023r0006aSupply Policy, Professional - Exchange
950. united-healthcare-2023r0006bSupply Policy, Professional - Reimbursement Policy - UnitedHealthcare Community Plan
951. united-healthcare-2023r0009aInjection and Infusion Services Policy, Professional - Exchange
952. united-healthcare-2023r0010aLaboratory Services Policy, Professional - Reimbursement Policy - UnitedHealthcare…
953. united-healthcare-2023r0012bProfessional/Technical Component Policy, Professional - Exchange
954. united-healthcare-2023r0012cProfessional/Technical Component Policy, Professional - Reimbursement Policy…
955. united-healthcare-2023r0013aPreventive Medicine and Screening Policy, Professional - Exchange
956. united-healthcare-2023r0014aLaboratory Services Policy, Professional - Exchange
957. united-healthcare-2023r0023bBilateral Procedures Policy, Professional - Exchange
958. united-healthcare-2023r0032aAnesthesia Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans…
959. united-healthcare-2023r0032bAnesthesia Policy, Professional - Exchange
960. united-healthcare-2023r0033aCare Plan Oversight Policy, Professional - Exchange
961. united-healthcare-2023r0034aMultiple Procedure Payment Reduction (MPPR) for Medical and Surgical Services Policy…
962. united-healthcare-2023r0038aMicrosurgery Policy, Professional - Exchange
963. united-healthcare-2023r0044aAfter Hours and Weekend Care Policy, Professional - Exchange
964. united-healthcare-2023r0046aTelehealth/Virtual Health Policy, Professional - Reimbursement Policy - UnitedHealthcare…
965. united-healthcare-2023r0046bTelehealth/Virtual Health Policy, Professional - Reimbursement Policy - UnitedHealthcare…
966. united-healthcare-2023r0052aCo-Surgeon / Team Surgeon Policy, Professional - Exchange
967. united-healthcare-2023r0052bCo-Surgeon / Team Surgeon Policy, Professional - Reimbursement Policy - UnitedHealthcare…
968. united-healthcare-2023r0056aRebundling Policy, Professional - Exchange
969. united-healthcare-2023r0060dMaximum Frequency Per Day Policy, Professional - Exchange
970. united-healthcare-2023r0060fMaximum Frequency Per Day Policy, Professional - Reimbursement Policy - UnitedHealthcare…
971. united-healthcare-2023r0064aObstetrical Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial and…
972. united-healthcare-2023r0064bObstetrical Services Policy, Professional - Reimbursement Policy - UnitedHealthcare…
973. united-healthcare-2023r0065aReduced Services Policy, Professional - Exchange
974. united-healthcare-2023r0070aInjections into the Tendon Sheath and Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel…
975. united-healthcare-2023r0070bInjections into Tendon Sheath, Ligament, Ganglion Cyst, Carpal and Tarsal Tunnel Policy…
976. united-healthcare-2023r0071aAdd-On Codes Policy, Professional - Exchange
977. united-healthcare-2023r0071bAdd-on Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Community Plan
978. united-healthcare-2023r0085aMultiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging Policy, Professional…
979. united-healthcare-2023r0086cAge to Diagnosis Code & Procedure Code Policy, Professional - Exchange
980. united-healthcare-2023r0086dAge to Diagnosis Code and Procedure Code - Reimbursement Policy - UnitedHealthcare…
981. united-healthcare-2023r0090aAudiologic/Vestibular Function Testing Policy, Professional - Exchange
982. united-healthcare-2023r0092aRadioallergosorbent (RAST) Type Tests Policy, Professional - Exchange
983. united-healthcare-2023r0096aViral Hepatitis Serology Testing Policy, Professional - Exchange
984. united-healthcare-2023r0097aPhysical Medicine and Rehabilitation: Speech Therapy Policy, Professional - Exchange
985. united-healthcare-2023r0098aPhysical Medicine & Rehabilitation: PT, OT and Evaluation & management Policy…
986. united-healthcare-2023r0100aB Bundle Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial…
987. united-healthcare-2023r0100bB Bundle Codes Policy, Professional - Reimbursement Policy - UnitedHealthcare Community…
988. united-healthcare-2023r0101aPhysical Medicine & Rehabilitation: Maximum Combined Frequency per Day Policy…
989. united-healthcare-2023r0101bPhysical Medicine & Rehabilitation: Maximum Combined Frequency Per Day Policy…
990. united-healthcare-2023r0102bTime Span Codes Policy, Professional - Exchange
991. united-healthcare-2023r0104cContrast and Radiopharmaceutical Materials Policy, Professional - Exchange
992. united-healthcare-2023r0105aCCI Editing Policy, Professional and Facility - Exchange
993. united-healthcare-2023r0105fCCI Editing Policy, Professional and Facility - Reimbursement Policy - UnitedHealthcare…
994. united-healthcare-2023r0106aSplit Surgical Package Policy, Professional - Exchange
995. united-healthcare-2023r0107aT Status Codes Policy, Professional - Exchange
996. united-healthcare-2023r0108aUrgent Care Policy, Professional - Exchange
997. united-healthcare-2023r0109aDurable Medical Equipment Orthotics And Prosthetics Policy, Professional - Exchange
998. united-healthcare-2023r0109bDurable Medical Equipment Orthotics and Prosthetics Policy, Professional - Reimbursement…
999. united-healthcare-2023r0110aDiscontinued Procedure Policy, Professional - Exchange
1000. united-healthcare-2023r0111bModifier Reference Policy, Professional - Reimbursement Policy - UnitedHealthcare…