Medical and Payment Policies

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Draft Medical and Payment Policies
Intraocular Radiotherapy for Age-Related Macular Degeneration, Effective 12/01/2022
Medical
Image Guided Minimally Invasive Spinal Decompression for Spinal Stenosis
Immune Cell Function Assay
Implantable Bone Conduction and Bone Anchored Hearing Aids
In Vitro Chemoresistance and Chemosensitivity Assays
Ingestible pH and Pressure Capsule
Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
Interferential Current Stimulation
Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
Intra-Articular Hyaluronan Injection for Osteoarthritis
Intracellular Micronutrient Analysis
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Conditions
Intravitreal and Punctum Corticosteroid Implants
Islet Transplantation
Payment
Immunizations Adult and Pediatric
Inactive Provider Termination
Inpatient Admission
Intensive Behavioral Therapy (IBT) for Obesity
Intraocular Lens (IOL) Implant
Prior Authorization
Implantation of Intrastromal Corneal Ring Segments
Infertility Services
Intensity Modulated Radiotherapy of the Abdomen and Pelvis
Intensity Modulated Radiotherapy of the Breast and Lung
Intensity Modulated Radiotherapy of the Central Nervous System
Intensity Modulated Radiotherapy of the Head, Neck and Thyroid
Intensity-Modulated Radiotherapy - Prostate
Intensity-Modulated Radiotherapy of the Abdomen, Pelvis and Chest - Effective 12/01/2022
Intensity-Modulated Radiotherapy of the Central Nervous System Tumors - Effective 12/01/2022
Intensity-Modulated Radiotherapy: Head, Neck and Thyroid - Effective 12/01/2022