Medical and Payment Policies
Draft Medical and Payment Policies
Mammogram and Pap Smears Mandate effective 1/1/2024
Mass Spectrometry (MS) Testing in Monoclonal Gammopathy - Effective 1/01/2024
Multicancer Early Detection - Effective 1/01/2024
Multitarget Polymerase Chain Reaction Testing for Diagnosis of Bacterial Vaginosis - Effective 1/01/2024
Medical
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 Lipoprotein-Associated Phospholipase A2 in the Assessment of Cardiovascular Risk - Effective 1/01/2024
Measurement of Ocular Blood Flow for Glaucoma
Measurement of Serum Antibodies to Selected Biologic Agents
Measurement of Serum Antibodies to Selected Biologic Agents - Effective 1/01/2024
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 - Effective 2/01/2024
Minimally Invasive Procedures for Back Pain Related to Disc Disease
Mobile Cardiac Outpatient Telemetry (MCOT)
Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
Multimarker Serum Testing Related to Ovarian Cancer
Multimarker Serum Testing Related to Ovarian Cancer - Effective 1/01/2024
Myoelectric Controlled Upper-Limb Orthoses
Payment
Maximum Units
Medical Records Standards
Medical Supply Wastage
Medicare Advantage Plans Laboratory Network Hospital Outpatient 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