Medical and Payment Policies

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Draft Medical and Payment Policies
Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis Effective 5/1/2024
Salivary Estriol as Risk Predictor for Preterm Labor and Management of Menopause and/or Aging
Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer
Scanning Computerized Ophthalmic Diagnostic Imaging
Scintimammography and Gamma Imaging of the Breast and Axilla
Semi-Implantable and Fully Implantable Middle Ear Hearing Aids
Sensory Integration Therapy and Auditory Integration Therapy
Serologic Genetic and Molecular Screening for Colorectal Cancer
Serum Biomarker Human Epididymis Protein 4
Serum Tumor Markers for Breast and Gastrointestinal Malignancies
Signal-Averaged Electrocardiography (SAECG)
Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions
Speech Therapy
Sphenopalatine Ganglion Block for Headache
Stationary Ultrasonic Diathermy Devices
Steroid-Eluting Sinus Stents and Implants
Subtalar Arthroereisis
Surgery for Groin Pain in Athletes
Surgical Deactivation of Migraine Headache Trigger Sites
Surgical Deactivation of Migraine Headache Trigger, Effective 6/1/2024
Surgical Left Atrial Appendage Occlusion Devices for Stroke Prevention in Atrial Fibrillation
Surgical Ventricular Restoration
Sympathetic Therapy for the Treatment of Pain
Synthetic Cartilage Implants for Joint Pain
Self-Treatment or Treatment of Immediate Family Members
Smoking Cessation Mandate
Specialty Interdisciplinary Care Team Participation
Specimen Provenance Error Testing
Structured Screening and Brief Intervention Services
Prior Authorization
Skilled Nursing Facilities: Admission and Concurrent Review
Stereotactic Body Radiation Therapy
Surgical and Debulking Treatments for Lymphedema
Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome