Medical and Payment Policies

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Draft Medical and Payment Policies
Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non-Orthopedic Conditions, Effective 2/01/2023
Remote Electrical Neuromodulation for Migraines, Effective 12/01/2022
Medical
Radiofrequency Coblation Tenotomy for Musculoskeletal Conditions
Reflectance Confocal Microscopy for Evaluating Skin Lesions for Suspected Malignancy
Retinal Telescreening for Diabetic Retinopathy
Rhinomanometry and Acoustic Optical Rhinomanometry
Risk Reducing Mastectomy
Payment
Rabies Treatment: Pre and Post Exposure
Radiopharmaceuticals
Prior Authorization
Radioembolization for Primary and Metastatic Tumors of the Liver
Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
Removal of Implantable Devices
Removal of Implantable Devices - Effective 1/01/2023