Medical and Payment Policies

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Magnetic Capsule Endoscopy
Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease
Mammograms and Pap Smears Mandate
Manipulation Under Anesthesia
Mastectomy Treatment, Breast Reconstruction and Hospital Stays Mandates
Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders
Measurement of Lipoprotein-Associated Phospholipase A2 in the Assessment of Cardiovascular Risk
Measurement of Ocular Blood Flow for Glaucoma
Measurement of Serum Antibodies to Selected Biologic Agents
Medical Necessity
Meniscal Allografts and Other Meniscal Implants
Mental Illness and Substance Use Disorders Mandate
Microvolt T-Wave Alternans Testing
Minimally Invasive Coronary Artery Bypass Graft Surgery
Minimally Invasive Procedures for Back Pain
Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
Multicancer Early Detection
Multimarker Serum Testing Related to Ovarian Cancer
Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis
Myoelectric Controlled Upper-Limb Orthoses
Mammogram and Pap Smears Mandate effective 1/1/2024
Maximum Units
Medical Records Standards
Medical Supply Wastage
Medicare Advantage Plans Laboratory Network Hospital Outpatient Allowable Test Listing
Medicare Advantage Plans Laboratory Network Hospital/Physician/Urgent Care Allowable Test Listing
Medicare Advantage Plans National and Local Coverage Determinations
Medicare Diabetes Prevention Program (MDPP)
Modifier 22 Guidelines
Modifier 59, XE, XP, XS, XU Guidelines
Multi-Function Home Ventilators
Prior Authorization
Magnetic Resonance Imaging‐Guided Focused Ultrasound
Mass Spectrometry (MS) Testing in Monoclonal Gammopathy
Microprocessor-Controlled Prostheses for the Lower Limb
Microwave Tumor Ablation
Minimal Residual Disease Testing for Cancer
Minimal Residual Disease Testing for Cancer - Effective 8/1/2024
Miscellaneous Vascular Embolization Procedures
Miscellaneous Vascular Embolization Procedures, Effective 8/1/2024
Molecular Markers in Fine Needle Aspiration of the Thyroid
Molecular Testing for the Management of Pancreatic Cysts, Barrett Esophagus, and Solid Pancreaticobiliary Lesions
Molecular Testing in the Management of Pulmonary Nodules
Molecular Testing in the Management of Pulmonary Nodules, Effective 6/1/2024