Medical and Payment Policies

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Draft Medical and Payment Policies
Arthrotomy for Temporomandibular Joint (TMJ) Disorder - Effective 12.1.2022
Medical
Absorbable Nasal Implant for Treatment of Nasal Valve Collapse
Adrenal-to-Brain Transplantation
Aduhelm (Aducanumab)
Allergy Testing
Ambulance: Ground Transport
Ambulatory Blood Pressure Monitoring
Amniotic Membrane and Amniotic Fluid
Aqueous Shunts and Stents for Glaucoma
Artificial Intervertebral Disc Insertion Lumbar Spine
Auditory Brain Stem Implant
Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions
Automated Point of Care Nerve Conduction Tests
Autonomic Nervous System Testing Using Portable Automated Devices
Axial Lumbosacral Interbody Fusion
Payment
Acupuncture and Dry Needling for Medicare Advantage Plans
Acupuncture Services for Commercial Products
Advance Care Planning
Advance Notice of Noncoverage
Advanced Practice Providers
After Hours: Special Services, Procedures, and Reports
Allergy Immunotherapy Injections
Anesthesia Services
Asthma Management Services
Automated Testing Devices
Prior Authorization
Acute Inpatient Rehabilitation Level of Care
Adult Child and Family Intensive Services (AIS CFIT)
Ambulance Air and Water Transport
Anastomosis of Extracranial-Intracranial Arteries
Artificial Pancreas Device System
Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer
Autism Spectrum Disorders Mandate
Autologous Chondrocyte Implantation