Medical and Payment Policies
Draft Medical and Payment Policies
Cosmetic Services Procedures Effective 1-1-2024
Medical
CA 125
Cardiac Hemodynamic Monitoring
Cardiointegram
Chelation Therapy for Off-Label Uses
Chronic Intermittent Intravenous Insulin Therapy
Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
Clinical Trials Mandate Commercial
Clinical Trials Medicare Advantage Plans
Cochlear Implants
Confocal Laser Endomicroscopy
Constraint-Induced Movement Therapy
Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy
Cranial Electrotherapy Stimulation and Auricular Electrostimulation
Cranial Orthoses (Adjustable) for Positional Plagiocephaly and Craniosynostoses
Cryoablation, Radiofrequency Ablation, and Laser Ablation for Treatment of Chronic Rhinitis
Cryosurgical Ablation of Primary or Metastatic Liver Tumors
Payment
Cardiac Rehabilitation
Care Plan Oversight
Chimeric Antigen Receptor (CAR) T-cell Therapy for Cancers
Chiropractic Services
Chromoendoscopy as an Adjunct to Colonoscopy
Claim Timely Filing - Inpatient Level of Care Appeals and Observation
Coding and Claim Filing Requirements for Drugs
Coding and Payment Guidelines / Modifiers
Colorectal Screening Mandate
Compression Garments/stockings
Contraceptive Drugs and Devices Mandate
Convalescent Plasma
Cooling Devices Used in the Home and Outpatient Setting
Coordination of Benefits
Cosmetic Services/Procedures
Coverage of Complications Following a Non-covered Service
COVID-19 Diagnostic Testing After PHE End Date
COVID-19 Diagnostic Testing, Vaccine and Antibody Treatment Administration Reimbursement
COVID-19 Monoclonal Antibody Treatment and Antiviral IV Medications
COVID-19 Vaccinations
Prior Authorization