Medical policies for providers
See the latest updates to our medical policies.
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.
Terms and conditions
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