Archived Medical Policies
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
A
B
D
E
F
G
H
I
M
N
P
- Peripheral Nerve Blocks for Treatment of Pain
- Peripheral Nerve Blocks for Treatment of Pain
- Peripheral Nerve Stimulators for the Treatment of Pain
- Peripheral Nerve Stimulators for the Treatment of Pain
- Peroral Endoscopic Myotomy
- Pharmacogenomics-Gene Testing for Behavioral Health Indications
- Positive Airway Pressure Devices for Pulmonary Disorders Continued Rental
- Positive Airway Pressure Devices for Pulmonary Disorders Continued Rental
- ProACT Adjustable Continence Therapy
R
S
T
- Temporomandibular Joint Disorder or Dysfunction (TMJD_TMD) CJD_Non-Surgical
- Temporomandibular Joint Disorder or Dysfunction (TMJD/TMD) Craniomandibular Jaw Disorder/Non-Surgical Treatment
- Transcranial Magnetic Stimulation for Treatment of Depression
- Trigger Point Injections
- Trigger Point Injections
- Trigger Point Injections