Medical policies

Evidence Based Guidelines - Alphabetical Index

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A   top

Aerosolized Antibiotics as a Treatment of Chronic Sinusitis
Ambulatory Blood Pressure Monitoring
Androstanediol Glucuronide Test for Hirsutism
Arthroscopic Debridement and Lavage as Treatment of Knee Osteoarthritis
Anti-CCP Testing for Rheumatoid Arthritis
Apnea Monitor for Use in the Home
Auditory Brain Stem Implant

B   top

Balloon Dilatation of the Prostatic Urethra
Balloon Valvuloplasty, Percutaneous
Bevacizumab in Advanced Adenocarcinoma of the Pancreas
Biochemical Markers of Alzheimer's Disease
Biventricular Pacemakers for CHF
Blood Glucose Monitors for Use in the Home
Bone Allotransplantation
Breast Lesion Localization, Stereotactic Approach

C   top

Cardiac Rehabilitation
Charged Particle Radiotherapy
Chronic Pulmonary Thromboendarterectomy 
Colon Cancer Screening 
Cryosurgery Ablation of the Prostate
Cytochrome p450 Genotyping

D   top

Deep Brain Stimulation
Dermatologic Applications of Photodynamic Therapy
Diabetic Retinopathy Telescreening
Donor Leukocyte Infusion
Drug Eluting Coronary Stent
Dynamic Spinal Visualization

E   top

Endobronchial Brachytherapy
Endoscopic Radiofrequency Ablation for Barreett's Esophagus
Erythropoiesis-Stimulating Agents (ESAs)
External Breast Reconstruction (Prosthesis)
External Cephalic Version
External Insulin Pumps

F   top

Fetal Fibronectin
Free Vascularized Fibular Graft for Avascular Necrosis


G   top

Genetic Testing for Familial Alzheimer's Disease
Genetic Testing for Tamoxifen Treatment
Glaucoma, Evaluation by Ophthalmic Techniques

H   top

Herceptin
Homocysteine Testing in Cardiac Disease Risk Assessment
Human Papillomavirus (HPV) Vaccine
Hysteroscopic Tubal Occlusion for Permanent Sterilization

I   top

Ilizarov Bone Lengthening Procedure
Implantable Infusion Pumps
Intra Articular Hyaluronan Injections for Osteoarthritis of the Knee
Intracardiac Electrophysiologic Studies
Intravenous Anesthetics for the Treatment of Chronic Pain
Interventions for Progressive Scoliosis
Intrahepatic Arterial Chemotherapy
Intraoperative Radiation Therapy
Intrauterine Ablation or Resection of the Endometrium

J   top

None

K   top

KRAS Mutation Analysis in Cancer

L   top

Laboratory Testing for HIV Tropism
Laser Assisted Tonsillectomy
Lithotripsy, Extracorporeal, for Gallstones

M   top

Maternal and Fetal Diagnostics
Maze Procedure for Atrial Fibrillation or Flutter
Mechanical Embolectomy for Treatment of Acute Stroke
Monitored Anesthesia Care (MAC)
Monoclonal Antibodies for Non-Hodgkin Lymphoma and Acute Myeloid Leukemia

N   top

Novel Lipid Risk Factors in Risk Assessment of Cardiovasculaar Disease

O   top

None

P   top

Partial Left Ventriculectomy
Pharmacogenomic and Metabolite Markers for Treatment with Thiopurines
Photodynamic Therapy for Treatment of Specific Cancers
Photodynamic Therapy Ocular
Prostate Cancer Treatment with Brachytherapy
Prothrombin Time Monitoring In The Home
Psychoanalysis
Pulmonary Artery Balloon Angioplasty, Percutaneous Transluminal Approach
Pulmonary Rehabilitation
PUVA (Psoralens with Ultraviolet A) Therapy

Q   top

None

R   top

Radiofrequency Ablation of Primary or Metastatic Liver Tumors
Radioimmunotherapy in the Treatment of Non-Hodgkin Lymphoma

S   top

Sacroiliac Joint Arthrography and Injection
Screening for Vertebral Fracture with Dual X-Ray Absorptiometry (DEXA)
Secondary Physician Attendance at Delivery
Septoplasty
Serologic Diagnosis of Celiac Disease
Serum Biomarker Human Epididymis Protein 4 (HE4)

T   top

TENS (Transcutaneous Electrical Nerve Stimulator)
Therapeutic Apheresis
Tissue Pressure Measurement
Thermotherapy, Transpupillary
Total Body Photography
Transcoronary Ablation of Septal Hypertrophy (TASH)
Transjugular Intrahepatic Portosystemic Shunt (TIPS)
Transmyocardial Revascularization (TMR)
Transrectal Ultrasound
Transurethral Microwave Thermotherapy for Benign Prostatic Hyperplasia
Transurethral Radiofrequency Needle Ablation of the Prostate
Treatment for Age Related Macular Degeneration
Twin-Twin Transfusion Syndrome, Treatment

U   top

Ultrafiltration in Decompensated Heart Failure
Ultrasound Screening for Abdominal Aortic Aneurysm
Ultraviolet Light Box Therapy in the Home (UVB)

Uterine Artery Occlusion in the Treatment of Uterine Fibroids

V   top

Ventricular Assist Devices and Total Artificial Hearts
Videofluoroscopic Evaluation of Velopharyngeal Closure for Speech Disorders

W   top

Water Induced Thermotherapy for Treatment of Benign Prostatic Hypertrophy

X   top

None

Y   top

None

Z   top

None

 

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