Medical and Payment Policies
Draft Medical and Payment Policies
Minimal Residual Disease Testing for Cancer - Effective 6/01/2023
Medical
Magnetic Capsule Endoscopy
Magnetic Esophageal Ring to Treat Gastroesophageal Reflux Disease GERD
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, Formerly Meniscal Allograft Transplantation and Collagen Meniscus 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 Related to Disc Disease
Mobile Cardiac Outpatient Telemetry (MCOT)
Monitored Anesthesia Care for Gastrointestinal Endoscopic Procedures
Multimarker Serum Testing Related to Ovarian Cancer
Myoelectric Controlled Upper-Limb Orthoses
Payment
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