Medical and Payment Policies

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Draft Medical and Payment Policies
Expanded Fertility Services, Effective 4/1/2024
Medical
Electrical and Electromagnetic Stimulation for the Treatment of Arthritis
Electrical Bone Growth Stimulation of the Appendicular Skeletal-Implantable and Semi-Implantable and Semi Invasive
Electrical Stimulation and Electromagnetic Therapy for Wound Treatments
Electrogastrography (EGG)
Electromagnetic Navigational Bronchoscopy
Electronic Brachytherapy for Nonmelanoma Skin Cancer
Endometrial Ablation
Enhanced External Counterpulsation
Esophageal pH Monitoring
Evaluation of Biomarkers for Alzheimer's Disease
Evaluation of Hearing Impairment/Loss
Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
Payment
E-Consults/Interprofessional Consults/Electronic Consults
Early Intervention Services Mandate
EKG Services during Preventive Visit
Emergency Department Services/Waiver of Copayment
Emergency Room - Radiology Imaging Interpretation Services
Emergency Room Reimbursement
Enteral/Parenteral Nutrition Therapy
Prior Authorization
Envisia for Idiopathic Pulmonary Fibrosis
Epidural Injections for Pain Management
Epidural Injections for Pain Management, Effective 3/01/2024
Exondys (eteplirsen) and Vyondys (golodirsen) for Duchenne Muscular Dystrophy