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Medical Guidelines - Categorical Index

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Drugs |  Home Health/Durable Medical Equipment |  Medical |  Mental Health |  Surgery |  Therapy |  Other Treatments

Drugs   top

Immunosuppressants Medications
Immunoglobulin Therapy (Intravenous and Subcutaneous) in the HOME
Nebulizer Medications
Oral Anticancer Medications
Oral Antiemetic Medications

High-tech Diagnostic Imaging

Home Health/Durable Medical Equipment   top

Durable Medical Equipment
Electrical Stimulators - Osteogenesis
Electrical Stimulators - TENS
External Infusion Pumps
Electrical Stimulation - Neuromuscular
Orthotics: Ankle -Foot (AFO) and Knee-Ankle-Foot (KAFO) Orthoses
Orthotics: Knee Orthoses
Orthotics: Lumbar Sacral Orthoses (LSO) and Thoracic Lumbar Sacral Orthoses (TLSO)
Oxygen and Oxygen Supplements
Penile Implants
Pneumatic Compression Device
Respiratory Assist Devices for Obstructive Sleep Apnea and Breathing Related Sleep Disorders
Skilled Care Services

Upper Limb Prosthetics

Medical   top

Ambulance and Medical Transport Services
Clinical Trial Services
Dental Services
ForeSee Home AMD Monitoring
Investigational (Experimental) Services
Medical Necessity and Noncovered Services
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation

Mental Health   top

Neuropsychological Testing
Psychological Evaluations Covered as a Medical Benefit

Surgery   top

Breast Implant Removal
Breast Reduction
Deep Brain Stimulation for Essential Tremor and Parkinson
Electrical Stimulators - Spinal Cord
Lung Volume Reduction Surgery
Morbid Obesity Surgery
Orthognathic Surgery
Percutaneous Left Atrial Appendage Closure
Reconstructive Eyelid Surgery
Refractive Surgical Procedures
Sacral Nerve Stimulator for Urinary Incontinence and Fecal Incontinence
Surgical Treatment of Obstructive Sleep Apnea
Transcatheter Mitral Valve Replacement (TMVR)
Temporomandibular Joint Surgery
Transcatheter Aortic Valve Replacement (TAVR)
Transplants: Solid Organ
Transplants: Stem Cell
Vagal Nerve Stimulator (VNS) for Epilepsy
Varicose Vein Treatment
Ventricular Assist Devices
Vertebroplasty and Percutaneous Vertebral Augmentation
X-Stop: Interspinous Process Decompression System

Therapy   top

Ablative Therapy
Positive Airway Pressure Therapy For Obstructive Sleep Apnea and Breathing Related Sleep Disorders
Rehabilitation Therapy - Inpatient
Speech Language Pathology (SLP) Services

Other Treatments   top

Cardiac Rehabilitation
Pulmonary Rehabilitation


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