Medical policies for providers
See the latest updates to our medical policies.
MP340-Wide Area Transepithelial Sampling (WATS)
WATS3D (Wide Area Transepithelial Sampling) is a procedure that is used as an adjunct to the Seattle biopsy protocol for early detection of Barrett’s esophagus in patients suspected to have or are confirmed with Barrett’s Esophagus (BE).
MP121-Wearable Cardioverter Defibrillators and Automatic External Defibrillators
Wearable cardioverter defibrillator (i.e. LifeVest) monitors electrocardiogram (ECG) changes through a programmable microprocessor-based device and an electrode belt containing non-adhesive electrodes integrated into the vest.
MP280-Whole Exome Sequencing
Whole exome sequencing is a strategy to selectively sequence the coding regions of the genome. Exons are short, functionally important sequences of DNA which represent the coding coded regions in of genes.
MP112 -Wireless Capsule Endoscopy
Capsule endoscopy is performed using an imaging system consisting of a swallowable disposable capsule containing a video camera, light source, radiotransmitter and batteries; an externally worn data recorder and an office based workstation.
MP308-Wireless Pulmonary Artery Pressure Monitoring
This technology consists of a sensor implanted in the distal pulmonary artery, a transvenous delivery system, and an electronic processor that transmits pulmonary artery pressure measurements from the implanted sensor to a secure database. This technology includes, but is not limited to, the CardioMEMS™ Champion Heart Failure Monitoring System, the ImPressure® device, and the Chronicle® implantable continuous hemodynamic monitoring device.
MP108-Work Hardening and Work Conditioning Programs and Functional Capacity Exams
Work conditioning, also known as functional reconditioning, is a work-related, intensive, goal-oriented treatment program specifically designed to improve an individual’s systemic, neuromusculoskeletal (strength, endurance, movement, flexibility and motor control), and cardiopulmonary functions.
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Clinical guidelines offer providers consistent and appropriate guidance for diagnosis and treatment of specific conditions or diseases.
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