Medical policies for providers

See the latest updates to our medical policies. 

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W

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. If a life-threatening arr...

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. In the human genome there are about 180,00...

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. Up to 50,00...

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 mo...

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