Alphabetical Index of Policies

A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

A

Ablation, Cardiac 123

Ablation, Endometrial 331

Ablation, Prostate 384

Acoustic Rhinometry 217

Acupressure 178

Acupuncture 178

Acupuncture for Allergies 217

Adoptive Immunotherapy 051

Advanced Life-Support 273

AIDS (HIV Testing) 383

Air Ambulance 273

Air-Fluidized Beds 373

Aldosterone Receptor Antagonists 026

Alfacon 052

Alglucerase 317

Allergies, Acupuncture 217

Allergies, Detoxification 217

Allergies, Homeopathy 217

Allergy Immunotherapy 217

Allergy Shots 217

Allergy Testing and Treatments 217

AlloBMT 092

Allogeneic Stem Cell Transplants 092

Allografts 374

Alopecia 068

Alpha Antitrypsin 279

Alpha Index, Medical Policy 505

Alpha Interferons 052

Alprostadil 078

Alternative Medicine 178

Alzheimer's Disease 365

Ambulance 273

Ambulatory Blood Pressure 206

Ambulatory Event Monitors 347

Ambulatory Surgical Procedures 389

Amegakaryocytic Thromocytopenia 092

Amniocentesis 216

Amphetamines 251

Analysis of Proteomic Patterns 366

Anesthesia 148

Angioplasty 424

Angioplasty, Non-Coronary 077

Angiotensin II Receptor Antagonists 012

Anorexiants 379

Anterior Eye Segment Optical Imaging 084

Anticoagulation 429

Antidepressant Drugs 024

Antifungal Therapy 022

Anti-hemolytic Factor 360

Antihyperlipidemics 013

Anticoagulation 429

Antitrypsin, Alpha 279

APC, Genetic Testing 365

Apheresis, Therapeutic 071

Aplastic Anemia 092

Apnea Monitors 151

Aranesp 262

Aromatherapy 178

ART, Assisted Reproductive Technologies 086

Arteriovenous Malformations 277

Assays of Genetic Expression in Tumor Tissue 055

Assessment Guidelines 350

Assist Devices, Ventricular 388

Assisted Reproductive Technologies 086

Asthma Management 011

Atherectomy 424

Audiant Bone Conductor 087

Audiometric Test, Hearing Test 425

Auditory Evoked Potentials 211

AutoBMT 126

Autogenous Urine Therapy 217

Autologous Blood Banking 381

Autologous Bone Marrow Transplant 126

Autologous Cell Therapy 424

Autologous Chondrocyte Transplant 374

Autologous Stem Cell Transplant 126

Ayurvedic Medicine 178


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

B

B-Type Natriuretic Peptide 031

Balloon Dilation 384

Batista Procedure 438

Beds, Air-Fluidized 373

Behavioral Training 072

Beksey Audiometry, Hearing Test 425

Benign Prostatic Hyperplasia 040

Beta Interferons 052

Beta-Thalassemia 365

Biliopancreatic Bypass 379

Biofeedback 178

Biofeedback as Psychotherapy 423

BiPAP 293

Birth Control Pills 251

Bisphosphonate, Oral 058

Bisphosphonates, Infusion-Injection 061

Blepharoplasty 068

Blood Bank Services 381

Blood Banking, Autologous 381

Blood Banking, Cord Blood 381

Blood Donor Fees 381

Blood Glucose Monitors 202

Blood Pressure Monitors 206

Blood Storage 381

Blood Thinning 429

Blood, Autologous Banking 381

Blood, Cord Blood 381

Blood, Umbilical Cord 092

BMI, Body Mass Index 379

Body Mass Index 379

Bone Conductor, Audiant 087

Bone Densitometry 034

Bone Growth Stimulation 157

Bone Marrow Transplants-Allo 092

Bone Marrow Transplants-Auto 126

Botulinum Toxin 006

Bowel/Liver Transplants 368

BPH 384

Brain Stimulation 083

Brain Tumors 277

Bras 158

BRCA 365

Breast Cancer Genetic Testing 365

Breast Pumps, Electric 386

Breast Pumps, Manual 386

Breast Ultrasound 007

Bronchial Challenge Test 217

Burn Garments 158

Bypass Surgery 424


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

C

CAM26, CAM29 167

Canavan 365

Cancer Chemotherapy 390

Cancer in the Liver 369

Cancer Therapy, Isolated Limb Perfusion 124

Cancer Treatments 051

Cancer, Breast Mammography 125

Cancer, Cervical 366

Cancer, Monoclonal Antibody Imaging 378

Candida Hypersensitivity Test 217

Carbohydrate Cancer Antigens 167

Cardiac Event Monitors 347

Cardiac Rehabilitation 060

Cardiokymography 049

Carticel 374

Cataract Removal 241

Catheter Ablation of Arhythmogenic Foci 123

Caverject 078

CD4 Cell Counts 383

CelebrexTM 002

Cell Analysis 341

Cell Counts, CD4 383

Cerebellar Stimulation 083

Ceredase 317

Cerezyme 317

Cervical Cancer Screening 366

Cervicography 366

CET 086

Challenge Test 395

Chelation Therapy 178

Chemical Peel 068

Chemoembolization 369

Chemotherapy, Cancer 390

Chemotherapy, Intra-Arterial 369

Chest Physical Therapy 215

Chest Wall Deformity 068

Chicken Pox 132

Chondrocyte Transplantation, Autologous 374

Chorionic Villus Sampling 216

Cine CT 355

Cleft Lip 068

CNS stimulants and psychotherapeutic agents 019

CoaguCheck® 429

Cochlear Implants for Deafness 087

Cognitive Rehabilitation 439

Collagen Implantation 072

Colon Hydrotherapy 178

Colonoscopy 371

Colorectal Cancer 378

Colorectal Cancer Screening 365

Colposcopy, Pap Smears 366

Coma Stimulation 439

Complementary Medicine 178

Complications of a Noncovered Service 089

Computed Tomography 330

Computerized Tomography (CT) Scans 009

Conductive Deafness 087

Conductor, Audiant Bone 087

Congenital Deformities 068

Conjunctival Challenge Test 217

Continuous Passive Motion 128

Cord Blood 381

Corneal Endothelial Microscopy 050

Corneal Pachymetry 054

Corneal Surgery 241

Corneal Transplant 241

Coronary Revascularization 424

Cosmetic Drugs 251

Cosmetic Services 068

Counseling 147

Counseling Nutritional 375

Cox II Inhibitor Drugs 002

Cox II Inhibitor Drugs Authorization Form 432

CPAP 293

CPM, Continuous Passive Motion 128

Cranial orthosis 068

Cranial Ultrasound 007

Cryosurgery, Prostate 384

CT Scan 355

CVS, Chorionic Villus Sampling 216

Cystic Fibrosis 365

Cytokine Receptor Assays 217

Cytometry 341

Cytoreduction and Hyperthermic Intraperitoneal Chemotherapy 048

Cytotoxic Food Testing 217


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

D

Darbepoetin Alpha 262

Deafness, Sensorineural 087

Debridement of Toenails 385

Deep Brain Stimulation 083

Densitometry 034

Dental Services 382

Desensitization 217

Detoxification for Allergies 217

Devices for Deafness 087

DEXA, Bone Densitometry 034

Diabetes Step Therapy - Second Step Agents 041

Diabetics, Foot Care Services 385

Diabetic Supplies 202

DIPI 086

Disc Nucleoplasty 099

Donnor Leukocyte Infusion 051

DPA, Bone Densitometry 034

DPAP 293

Dressings 220

Drug Approval Program 005

Drug Management & Prior Authorization 251

Drug Management 251

Drugs Under Review 005

Drugs, Alglucerase 310

Drugs, Alpha Antitrypsin 279

Drugs, Alphacon 052

Drugs, Alprostadil 078

Drugs, Anorexiants 379

Drugs, Antihyperlipidemics 013

Drugs, Aranesp 262

Drugs, B-Type Natriuretic Peptide 031

Drugs, Beta Interferon 052

Drugs, Bisphosphonate, Oral 058

Drugs, Ceredase 310

Drugs, Colony Stimulating Factors 337

Drugs, Contraceptive 251

Drugs, Edex 078

Drugs, Epogen 262

Drugs, Euflexxa 427

Drugs, Factor VIII 360

Drugs, FDA-approved 251

Drugs, Gamma Interferon 052

Drugs, G-CSF 337

Drugs, GM-CSF 337

Drugs, Growth Hormone 257

Drugs, Hemophilia 360

Drugs, Hyalgan 427

Drugs, IgE Receptor Binding Inhibitors 017

Drugs, Infergen 052

Drugs, Infertility 251

Drugs, Interferon 052

Drugs, IVIg 310

Drugs, Macrophage Colony Stimulating Factors 337

Drugs, Medicare HMO/PPO Blue Non-covered List 023

Drugs, Methadone 274

Drugs, Minoxidil 251

Drugs, Morphine 251

Drugs, Muse 078

Drugs, Nicotine Products 251

Drugs, Omalizumab 017

Drugs, Orthovisc 427

Drugs, Phen-Fen 379

Drugs, Phentermine 379

Drugs, Pregabalin (Lyrica) 057

Drugs, Procrit 262

Drugs, Procuren 251

Drugs, Redux 379

Drugs, RespiGam 422

Drugs, Retin-A 251

Drugs, Revatio 036

Drugs, Ritalin 251

Drugs, Rogaine 251

Drugs, RSV Immunoglobulin 422

Drugs, Sildenafil 078

Drugs, Sildenafil 036

Drugs, Supartz 427

Drugs, Synvisc 427

Drugs, Tretinoin 251

Drugs, Viagra 078

Drugs, Weight Loss 379

Drugs, Xolair 017

Drugs, Yohimbine 078

Dual-Energy X-ray Absorptiometry 034

Duplex Ultrasound 007

Dynamic Posturography 263


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

E

Early Intervention 281

ECG, Signal-Averaged 134

ECMO: Extracorporeal Membrane Oxygenation 131

ECT, Electroconvulsive Therapy 319

Edex 078

EECP, Enhanced External Counterpulsation 388

Electric Blue Review 500

Electric Breast Pump 386

Electrical Bone Growth Stim 157

Electrical Stimulators, Brain 083

Electrical Stimulators, Cerebellar 083

Electrical Stimulators, PENS 003

Electrical Stimulators, Spine 083

Electrical Stimulators, TENS 003

Electrical Stimulators, Vagal 083

Electrocardiogram 347

Electroconvulsive Therapy 319

Electrolysis 068

Electromagnetic Therapy 435

Electron Beam CT Scan 355

Electrostimulation Therapy 435

ELISA for HIV 383

Emphysema 364

End Diastolic Pneumatic Compression Boots 388

End Stage Renal Disease 262

Endodontic Services 382

Endometrial Ablation 331

Endovascular Stent Grafts 077

Enhanced External Counterpulsation 388

Enteral Feeding Support 375

Enteral Formula 304

Enzyme Potentiated Immunotherapy 217

Epikeratoplasty 241

Epithelial Ovarian Cancer 126

Epoetin Alpha 262

Epogen 262

Erectile Dysfunction 078

Erythroblastosis Fetalis 232

Erythropoietin 262

Esophageal pH Monitoring 069

Evoked Potentials 211

Exchange Transfusion 232

Extracorporeal Membrane Oxygenation 131

Extracorporeal Photopheresis 051

Extracorporeal Shock Wave Treatment 081


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

F

Factor VIII 360

FAST 217

FDA-Approved Drugs 251

Fenfluramine 379

Fetal Fibronectin 043

Fetal Immunotherapy 387

Fetal Mesencephalic Transplant 361

Fetal Trasnplant 361

Fetal Ultrasound 007

Flexible Sigmoidoscopy 371

Flow Cytometry 341

Flu Shot 132

Flutter Devices 377

Focal Point 366

Follicular Non-Hodgkin's Lymphoma 092

Food Immune Complex Assay (FICA) 217

Food Testing 217

Foot Care 385

Foot Care Services 385

Formulae, Enteral 304

Formulary 433

Formulary Exception Form 434

Fracture Healing Devices 157


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

G

Gamma interferon blood test 383

Gamma Interferons 052

Garments 158

Garren-Edwards Gastric Bubble 379

Gastric Bypass 379

Gastric Stapling 379

Gastroesophageal Reflux 044

Gastroesophageal Reflux Surgeries 376

Gastroplasty 379

Gaucher's Disease 092

Gaucher's Disease, Ceredase 317

Gauchers Disease 365

G-CSF 337

Gene Mutations 365

Genetic Testing 365

Genetic Testing for Tamoxifen Treatment 067

Germ Cell Tumors 126

GIFT 086

Global OB Allowance 255

Global Surgical Package 394

Globulin, Respiratory Syncytial Virus Immune 422

Glucometers 202

Glucose Monitors, Blood 202

GM-CSF 337

Granulocyte Colony Stimulating Factors 337

Granulocyte-Macrophage Colony Stimulating Factors 337

Growth Hormone 257

Guidelines, Medical Technology Assessment 350

Gynecomastia 068


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

H

H Pylori Test 044

Hair Prostheses & transplants 068

Halstead-Reitan 363

HBO, Hyperbaric Oxygen 435

Hearing Aids 087

Hearing Evaluation 425

Heart Assist Devices 388

Heart Laser Device 424

Heart Transplantation 197

Heart-Lung Transplantation 269

HeartmateTM Heart Assist Device 388

Hemoglobin E Thalassemia 365

Hemolytic Disease 232

Hemophilia 360

Herbal Therapy 178

Hernia Repair 068

Hexagonal Keratoplasty 241

High-Sensitivity C-Reactive Protein 032

High-Speed CT 355

HIT Prior Authorization 434

HIV Testing 383

HNPCC 365

Hodgkin's Lymphoma 092

Holistic Medicine 178

Holter Monitors, 347

Home Apnea Monitors 151

Home Infusion Therapy 430

Home Infusion Therapy, Prior Authorization Guideline 430

Home Pneumograms 151

Home PT Monitoring 429

Home Total Parenteral Nutrition 296

Home Uterine Monitoring 043

Home UVB Booth 059

Homeopathy 178

Homeopathy for Allergies 217

Homocysteine Testing 016

Horizontal Gastric Partitioning 379

Hormone, Growth 257

HPV Testing 366

HUAM 043

Human Anti-hemolytic Factor 360

Human Papilloma Virus 366

Hunter's 092

Huntington's Disease 365

Hurler's 092

Hyalgan® (Sodium Hyaluronate) 427

Hydrops Fetalis 232

Hyperbaric Oxygen Therapy 435

Hyperbilirubinemia 232

Hyperthermia 051

Hypnotics 033

Hypnotherapy 178

Hypnotherapy 423

Hysterectomy Using Various Laparoscopic Approaches 066

Hysteroscopy 331


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

I

ICSI 086

IgE Receptor Binding Inhibitors 017

Image Guided Radiation Therapy for Prostate Cancer 085

Imaging, Monoclonal Antibody 378

Immune Globulin, Respiratory Syncytial Virus 422

Immune Modulating Drugs 004

Immunizations 132

Immunogammaglobulin 310

Immunomodulators, Topical 010

Immunosuppressant agents used to treat psoriasis 020

Immunotherapy, Allergy 217

Immunotherapy, Paternal/Fetal 387

Implantable Ambulatory Event Monitors 347

Implantable Cardioverter Defibrillator 070

Implants for Deafness 087

Implants, Titanium 382

Incontinence Therapy 072

Index, Medical Policy 505

Infantile Malignanct Osteoporosis 092

Infergen 052

Infertility 086

Infertility Drugs 251

Influenza 132

Influenza Drugs 440

Insulin Delivery Devices 332

Intensity Modulated Radiation Therapy of the Prostate 090

Intensive Detoxification 274

Interferons 052

Intra-arterial Chemotherapy 369

Intradiscal Electrothermal Therapy (IDET) 099

Intradiscal Radiofrequency Thermocoagulation 099

Intrahepatic Chemotherapy 369

Intrahepatic Portosystemic Shunt 370

Intraoperative Motor Evoked Potentials 211

Intraoperative Radiation Therapy 278

Intraoperative Somatosensory Evoked Potentials 211

Intraoperative Visual Evoked Potentials 211

Intravascular Ultrasound 007

Intravenous Immunoglobulin 310

Iridology 178

Isolated Limb Perfusion-Cancer 124

IVC 086

IVF 086

IVIg 310


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

J

Jaw Disorders (TMJ) 035

Jejunoileal Bypass 379

Jet Injectors, Insulin 332

Jet Pressure Infusion System 332

Joint Fluid Replacement 427


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

K

Keratectomy, Photorefractive 241

Keratoconus 241

Keratomileusis 241

Keratophakia 241

Keratoplasty, Lamellar 241

Keratoplasty, Optic 241

Keratoprosthesis 241

Ketogenic Diet 304

Kidney Transplant 196

Kidney-Pancreas Transplant 328

Kinesiology Testing 217

Kostmann's Syndrome 092


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

L

Laboratory Testing for HIV Tropism 008

Lamellar Keratoplasty 241

Laser Ablation of Varicose Veins 045

Laser Bullectomy 364

Laser Discectomy 099

Laser for Port Wine Stains 068

Laser Prostatectomy 384

Laser Revascularization 424

Laser-Assisted UVPP 293

Leukocyte Histamine Release 217

Leukocytotoxic Test 217

Leukopheresis 051

Leukotrienes 011

Life-Support 273

Light therapy 059

Limb Perfusion, Isolated 124

Lipectomy 068

Lipid Apheresis 071

Liposuction 068

Liver Transplant 198

Liver/Bowel Transplant 368

Liver/Intraarterial Chemotherapy 369

Lobar Lung Transplant 015

Local Hyperthermia 051

Lombard Test, Hearing Test 425

LPA 167

Lumbar Discectomy 099

Lung Reduction Surgery 364

Lung Transplant 015

Lung-Heart Transplant 269

LURIA 363

LVAD, Left Ventricular Assist Device 388

LVRS 364

Lymerix 132

Lymhocyte Subsets 217

Lymphapress 027

Lymphedema Devices 027

Lymphedema Therapy 215

Lymphedema Treatment 388

Lymphocyte Function Assay 217


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

M

Magnetic Resonance 106

Mammography and Scintimammography 125

Managed Care, Indemnity and PPO Guidelines Processing Information 812

Mandible, TMJ 035

Mandibular or Maxillary Surgery 293

Marrow Transplant, Bone 092

Massage therapy 178

MAST 217

Mastopexy 068

MAZE Procedure 356

MCA 167

Mediastinal Germ Cell Tumors 126

Medical Management of Obesity 379

Medical Nutrition Therapy 375

Medical Policy Alpha Index 505

Medical Policy Group Schedule 501

Medical Policy Matrix By Body Parts 428

Medical Technology Assessment Guidelines 350

Medical Technology Assessment Non-Covered Services 400

Medicare HMO Blue and Medicare PPO Blue Non-covered Drug List 023

Medicare Part D Coverage Determination Request Form 442

Medullary Thyroid Ca 365

Melanoma Vaccines 051

Meniere's Disease, Hearing Test 425

Meniscal Allografts 374

Mental Health Testing 363

MESA 086

Mesencephalic Transplant, Fetal 361

Methacholine Challenge Test 395

Microfertilization 086

Microvolume Straw Technique 086

Microwave Thermotherapy 384

MIDCAB 424

Mind-Body Medicine 178

Mini-CABG 424

Minoxidil 251

Miraluma 125

MMPI 363

Monitors, Blood Glucose 202

Monitors, Blood Pressure 206

Monitors, Home Apnea 151

Monoclonal Antibody Imaging 378

MORA Device for Jaw 382

Morphine 251

Morphometric Absorptiometry (MXA) 034

MRA 106

MRI 106

MRSpectroscopy 106

MRV 106

MSA 167

MSLT, Multiple Lantency Test 293

Multiple Myeloma 092

Multiple Myeloma 126

Multiple Sleep Latency Test 293

Multi-visceral Transplant 368

Muscle Testing 215

Musculoskeletal Transplant 068

Muse 078

Myelodysplasia/Myelofibrosis 092


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

N

Nail Debridement 385

Nasal Challenge Test 217

Natalizumab (Tysabri) 062

Natrecor 031

Naturopathic Medicine 178

Neonatal Jaundice 059

Nesiritide 031

Neurobehavioral status exam 363

Neuropsychological Testing 363

New Drug Approval Program 005

Newborn Hearing Test 425

Nicotine Products 251

Niemann-Pick 365

Nocturnal Penile Tumescence 078

Non Covered Drug List 433

Noncontact Radiant Heat Bandage 435

Noncovered Service, Complications 089

Non-HodgkinÆs Lymphoma 092

Non-implantable Pelvic Floor Muscle Stimulation 072

NORIF 086

NSE 167

Nutrition Therapy 375

Nutrition, Home Total Parenteral 296


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

O

OB Global Allowance 255

Obesity Surgery 379

OBEST 364

OBEST, Patient Information 434

Observation Services 412

Obstetrical Services 255

Obstetrical Ultrasound 007

Occupational Therapy 215

Ocular Photodynamic Therapy 241

Off-Labeled Drugs 251

Omalizumab 017

Oncology, Oral 063

Ophthalmologic Techniques to Evaluate the Retinal Nerve Fiber Layer 053

Opiate Addiction 274

Optic Keratoplasty 241

Optifast 379

Oral Appliances, Sleep Disorders 293

Oral Appliances, TMJ 035

Oral Contraceptive 251

Oral Splints 035

Oral Surgery 382

Orphan Drugs 021

Orthodontic Services 382

Orthoptics Training 281

Oscillation Vest, Respiratory Devices 377

Osseointegrated Implants 087

Osteoarthritis of the Knee 427

Osteoporosis, Bone Densitometry 034

Outpatient Cardiac & Pulmonary Rehabilitation 060

Outpatient Electroconvulsive Therapy 319

Outpatient Psychotherapy 423

Ovarian Cancer 092

Ovarian Germ Cell Tumors 126

Oxidative Therapy 178

Oximeters, Respiratory Devices 377

Oxygen 160

Ozone Therapy 051


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

P

PACAB 424

Pallidotomy, Stereotactic 361

Pancreas Transplantation Autologous Islet Cell Transplantation 328

Pancreas-Kidney Transplant 328

Panniculectomy 068

PAP 167

Pap Smears 366

Parathyroid Hormone (rDNA Originn) 018

Parkinson's Disease 361

Partial Left Ventriculectomy 438

Paternal/Fetal Immunotherapy 387

Peak Flow Meters, Respiratory Devices 377

Pectus Carinatum 068

Pectus Excavatum 068

Pelvic Floor Stimulators 072

Penile Implants 078

Penile Revascularization 078

PENS 003

Pens, Insulin Delivery 332

Percutaneous Annuloplasty 099

Percutaneous Lumbar Discectomy 099

Percutaneous Transluminal Angioplasty 077

Percutaneous Vertebroplasty and Kyphoplasty 099

Perfusion, Isolated Limb 124

Periodonthic Services 382

Peripheral Stem Cell Support, Autologous 126

Peripheral Vascular Disease Treatment 388

Personality Assessment 363

PET Scan 358

PFT's 395

pH Monitoring 044

Pharmacy, Formulary 433

Phen-Fen 379

Phentermine 379

Pheresis 071

Phosphodiesterase Type-5 Inhibitors 036

Photodynamic Therapy 051

Photon Absorptiometry 034

Photon Emission Computed Tomography 330

Photopheresis 071

Photorefractive Keratectomy 241

Phototherapy 059

Phototherapy for SAD 037

Physical Therapy 215

PKU 304

Plasma Exchange 071

Plasmapheresis 071

Plastic Surgery 068

Pneumococcal 132

Pneumograms 151

Polarity Therapy 178

Polycythemia vera 092

Polysomnography 293

Port-CABG 424

Portosystemic Shunt, Transjugular Intrahepatic 370

Positron Emission Tomography 358

POST 086

Post-symptom Electrocardiograms 347

Posturography, Dynamic 263

Preauthorization Request for Surgical Management of Obesity 047

Pregabalin (Lyrica) 057

Pregnancy, Ultrasound 007

Premature labor 043

Preterm labor 043

Preventive Medicine/Counseling 147

Preventive Screening Tests 413

Prior Auth, Infusion Therapy 430

PRIST 217

Procrit 262

Procuren 251

ProcurenTM 435

Prophylactic Mastectomy 068

Prophylactic Oophorectomy 051

Prostaglandin 078

Prostascint 378

Prostate Cancer 167

Prostate Specific Antigen 167

Prostate Surgery 384

Prostate Ultrasound 007

Prostatectomy 384

Prostatic Acid Phosphatase 167

Protein A Column Pheresis 071

Prothrombin Time (PT) 429

ProTime® 429

Proton Pump Inhibitors 030

Provocative Food Testing 217

PSA 167

Psychiatric Facility, Transport to 273

Psychoanalysis 423

Psychological Testing 363

Psychotherapy, Outpatient 423

PTA 077

PTCA 424

PTL (Preterm labor) 043

Pulmonary Function Tests 395

Pulmonary Rehabilitation 060

Pulse Oximeters, Respiratory Devices 377

Pulse Test, 217

Pumps, Breast 386

Pumps, Insulin 332

PUVA, Photherapy 059


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

Q

QCT, Bone Densitometry 034

Qi Gong 178

Quality Care Dosing Guidelines 621

Quantitative CT, Bone Densitomerty 034

 


A - B - C - D - E - F - G - H - I - J- K - L - M - N- O - P - Q - R - S - T - U - V - W - X - Y - Z

R

Rabies, Immunizations 132

Radial Keratotomy 241

Radiation Therapy 396

Radiation Therapy, Intraop 278

Radiofrequency Ablation 045

Radiofrequency Ablation of Miscellaneous Solid Tumors 369

Radiographic Absorptiometry 034

Radioimmunoscintigraphy for Prostate Cancer 378

Radiosurgery, Stereotactic 277

Radiotherapy 051

Rapid Detoxification 274

RAST 217

Reaginic Pulse Test 217

Recombinant Human 262

Reconstructive Surgery 068

Redux 379

Reflexology 178

Reflux, Gastroesophageal 044

Rehabilitation 215

Rehabilitation, Cardiac 060

Reiki 178

Renal Transplant 196

Repository Emulsion Therapy 217

RespiGamTM 422

Respiratory Devices 377

Respiratory Syncytial Virus Immune Globulin 422

Restorative Surgery 068

Retin A 251

Retinal Imaging 065

Retinal Telescreening 065

Retroperitoneal Germ Cell Tumors 126

Revascularization, Coronary 424