Medical policies for providers
See the latest updates to our medical policies.
MP353-Laser Interstitial Thermal Therapy
Laser interstitial thermal therapy (LITT) [e.g., MRgLITT , Neuroablate, Visualase)], utilizes a laser fiber probe to deliver thermal energy for the targeted ablation of diseased tissue.
MP164-Laser Treatment of Acne
Acne (Acne Vulgaris) is a multifactorial disease that involves the pilosebaceous unit, which is composed of the hair follicle and the sebaceous gland. Inflammation generally occurs when excess oil, dirt and/ or bacteria blocks the gland ducts.
MP19 -Laser Treatment of Cutaneous Vascular lesions
Cutaneous vascular lesions are the most common pediatric birthmarks. They are classified as either hemangiomas or vascular malformations . Pulsed dye lasers are most commonly used to treat hemangiomas and vascular malformations.
MP348-Long Term Acute Care (LTAC)
Long-term acute care (LTAC) is a recognized designation (by the Centers for Medicare and Medicaid Services) for acute care hospitals designed for extended stay patients with chronic conditions.
MP152-Low-Level Laser Therapy (LLLT) aka: Cold Laser Therapy, low-power laser therapy (LPLT), low intensity laser light therapy and low-energy laser therapy.
Low level laser therapy (LLLT), also referred to as cold laser therapy, low-power laser therapy (LPLT), low intensity laser light therapy, photomodulation, photobiomodulation and low-energy laser therapy.
MP60-Lung Volume Reduction Surgery
Lung volume reduction surgery is a surgical treatment for severe emphysema.
MP138-Lysis of Epidural Adhesions (Racz Procedure)
Percutaneous lysis of epidural adhesions (also known as epidural neuroplasty or epidural adhesiolysis) has been investigated as an interventional pain management treatment of chronic back pain thought to be caused by epidural adhesions.
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Clinical guidelines offer providers consistent and appropriate guidance for diagnosis and treatment of specific conditions or diseases.
Terms and conditions
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Questions? Contact us
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