Medical and Payment Policies
Draft Medical and Payment Policies
Transcatheter Tricuspid Valve Repair or Replacement (T-TEER or TTVR), Effective 4/1/2026
Medical
Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia
Therapeutic Shoes for Diabetics Mandate
Thermal Capsulorrhaphy as a Treatment of Joint Instability
Thermography
Thoracic Lumbosacral Orthosis with Pneumatics
Topographic Brain Mapping
Transanal Radiofrequency Treatment of Fecal Incontinence
Transcranial Magnetic Stimulation (TMS) as a Treatment of Depression and Other Psychiatric-Neurologic Disorders
Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease
Transpupillary Thermotherapy for Treatment of Choroidal Neovascularization
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease
Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
Treatment for Duchenne Muscular Dystrophy
Payment
Telemedicine/Telephone Services for Commercial and Medicare Advantage Plans
Telemedicine/Telephone Services for Medicare Advantage Plans during the Public Health Emergency (PHE) - Effective 8/3/2022
TEMPORARY Cost Share Waiver for Treatment of Confirmed Cases of Covid-19
TEMPORARY COVID-19 Diagnostic Testing
TEMPORARY COVID-19 Pediatric Vaccination Preventative Medicine Counseling Services for Commercial Members
TEMPORARY Encounter for Determination of Need for COVID-19 Diagnostic Testing Effective 3/18/20
Termination of Pregnancy
Therapeutic Eyeglasses and Contact Lenses
Timely Filing
Transfers between DRG Facilities
Transitional Care, Chronic Care, Complex Chronic Care and Principal Care Management
Transplants- Travel and Accommodations for Medicare Advantage Plans
Prior Authorization