Medical policies for providers
See the latest updates to our medical policies.
MP051 -Vagus Nerve Stimulation
The vagus nerve (10th cranial nerve) is a mixed nerve carrying both somatic and visceral afferent and efferent signals.
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 vein.
MP310-Vertical Expandable Titanium Rib
Vertical expandable prosthetic titanium rib (VEPTR and VEPTR II) is designed to mechanically stabilize and distract the thorax to improve respiration and lung growth in children diagnosed with or at risk of developing thoracic insufficiency syndrome (TIS) secondary to severe deformities of the chest, spine and ribs.
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.
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 myeloma.
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, tables and soft furniture.
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.
VitalStim is a device being marketed for use in the treatment of dysphagia.
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.
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