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Medical policies for providers

See the latest updates to our medical policies. 

Choose a letter to view policies by first letter.

A B C D E F G H I J K L M N O P Q R S T U V W 


MP051 -Vagus Nerve Stimulation
The vagus nerve (10th cranial nerve) is a mixed nerve carrying both somatic and visceral afferent and efferent signals. The basic premise of vagus nerve stimulation in the treatment of epilepsy is that the vagal visceral afferents have a diffuse centra...

MP33-Varicose Vein Treatments
Treatment of varicose veins that have not responded to conservative management such as compression stockings, and have resulted in recurrent superficial thrombophlebitis, severe and persistent pain and swelling, hemorrhage from a ruptured superficial v...

MP264-Ventricular Assist Device (VAD)
Ventricular assist device (VAD) is a mechanical pump that provides circulatory support for patients whose heart can no longer pump blood effectively due to heart failure. VAD’s are used temporarily in patients awaiting a heart transplant when their hea... 

MP114-Vertebroplasty and Percutaneous Kyphoplasty
Vertebroplasty is an interventional radiology technique that has been investigated as a therapy for pain relief and bone strengthening in vertebral collapse secondary to osteoporosis, painful vertebral hemangioma, osteolytic metastases and multiple mye...

MP137-Vibroacoustic Therapy
Vibroacoustic therapy is an investigational treatment modality that uses sound in the audible range to produce mechanical vibrations that are applied directly to the body via speakers and transducers placed within mats, mattresses, chairs recliners tab...

MP277-Vision Therapy/Orthoptics
Vision Therapy/Orthoptics involves the use of various non-surgical methods to correct or improve visual dysfunction.  Vision therapy may include eye exercises,eye patches, specialized  lenses filters, occluders and prisms.

MP49-Visual Field Testing
Visual field testing is a process to test the function of the retina, optic nerve and optic pathways, and to determine defects in the field of vision. The testing may be static or kinetic. In kinetic testing (i.e. Goldmann or tangent screen), the stimu...

VitalStim is a device being marketed for use in the treatment of dysphagia. The device uses synchronized neuromuscular electrical stimulation delivered via surface electrodes in an attempt to initiate or strengthen the pharyngeal muscle contractions re...

MP159-Voice Therapy
Voice therapy is an approach to the treatment of voice disorders that incorporates a series of individualized behavioral treatment techniques which aims to minimize and correct maladaptive and inappropriate vocal disorders. Voice disorders are characte...

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