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 - Main Page

A

Ablation Procedures for Peripheral Neuromas 719  

Accelerated Breast Irradiation and Brachytherapy Boost After Breast-Conserving Surgery for Early Stage Breast Cancer 326

Acoustic Cardiography 537

Actigraphy 533

Acute and Maintenance Tocolysis 518

Addyi 131

Adoptive Immunotherapy 455

Adrenal-to-Brain Transplantation 627

Alcohol Injections for Treatment of Peripheral Neuromas 642

Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms 155

Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias 190

Allogeneic Pancreas Transplantation 328

Alpha-Fetoprotein-L3 for Detection of Hepatocellular (Liver) Cancer 504

Ambulance: Advanced Life-Support, Transport to Psychiatric Facility, Air Transport, Two-Tiered 273

Ambulatory Surgical Procedures  389

Amniotic Membrane and Amniotic Fluid 643

Ampyra (dalfampridine) 246

Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening 557

Analysis of MGMT Promoter Methylation in Malignant Gliomas 587

Analysis of Proteomic Patterns for Early Detection of Cancer 536

Anesthesia: Local, General, Regional, Epidural, PCA, Post-op Epidural Narcotic Analgesia, and Others 148

Anti-CCP Testing for Rheumatoid Arthritis 142

Antigen Leukocyte Antibody Test 673

Antihyperlipidemics 013

Aqueous Shunts for Glaucoma 223

Artificial Intervertebral Disc: Lumbar Spine 592

Artificial Intervertebral Disc: Cervical Spine 585

Artificial Pancreas Device Systems 720

Assays of Genetic Expression in Tumor Tissue to Determine Prognosis of Patient with Breast Cancer 055

Assisted Reproductive Services Infertility Services 086

Assisted-Reproductive Technology Services FORM 694

Asthma Management 011

Audio Health Library 506

Auditory Brainstem Implant 481

Auricular Electrostimulation 362

Autologous Chondrocyte Implantation and Meniscal Allografts 374

Autologous Hematopoietic Stem Cell Transplantation for Malignant Astrocytomas and Gliomas 159

Automated Ambulatory Blood Pressure Monitor 206

Automated Percutaneous Discectomy and Endoscopic Discectomy 231

Automated Point-of Nerve Conduction Tests 222

Autonomic Nervous System Testing 713

Axial Lumbosacral Interbody Fusion (AxiaLIF) 404

B

B-Type Natriuretic Peptide 031

Back School 743

Balloon Sinuplasty for Treatment of Chronic Sinusitis 582

Baroreflex Stimulation Devices 595

Batista Procedure 438

BCR-ABL1 Testing in Chronic Myelogenous Leukemia and Acute Lymphoblastic Leukemia 612

Benign Prostatic Hyperplasia - BPH 040

Benign Skin Lesions 707

Bi-Level Positive Airway Pressure - BPAP Devices 527

Biliopancreatic Bypass 379

Bio-Engineered Skin and Soft Tissue Substitutes 663

Biofeedback as a Treatment of Chronic Pain 210

Biofeedback as a Treatment of Fecal Incontinence or Constipation 308

Biofeedback as a Treatment of Urinary Incontinence 173

Biofeedback as Psychotherapy 423

Biofeedback for Miscellaneous Indications 187

Biofeedback for the Treatment of Headache 152

Bioimpedance Devices for the Detection of Lymphedema 261

Birth Control Pills 251

Bisphosphonate, Oral 058

Biventricular Pacemakers - Cardiac Resynchronization Therapy for the Treatment of Heart Failure 101

Blepharoplasty, Blepharoptosis repair, and Brow ptosis repair 740

Blood Glucose Monitors 202

Blood Pressure Monitors 206

Blood Thinning 429

BMI, Body Mass Index 379

Body Mass Index 379

Bone Morphogenetic Protein 097

Bone Turnover Markers for Diagnosis and Management of Osteoporosis and Diseases Associated with High Bone Turnover 549

Botulinum Toxin Injection 006

Brachytherapy for Clinically Localized Prostate Cancer Using Permanently Implanted Seeds 175

BRAF Gene Mutation Testing To Select Melanoma Patients for BRAF Inhibitor Targeted Therapy 398

BRAF Kinase and MEK Inhibitors for Unresectable or Metastatic Melanoma 409

Bras 158

Breast Duct Endoscopy 493

Bronchial Thermoplasty 284

Bronchial Valves 313

Burn Garments 158

C

CA-125 503

Cancer Therapy, Isolated Limb Perfusion 124

Cardiac Computed Tomography (CT) for Quantitative Evaluation of Coronary Calcification 832

Cardiac Event Monitors 347 

Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting 287

Cardiac Rehabilitation 060

Cardiac Rehabilitation in the Outpatient Setting 916

Cardiokymography 049

Cardiovascular Risk Panels 664

Carotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty 219

Carrier Screening for Genetic Diseases 666

Catheter Ablation as Treatment for Atrial Fibrillation 141

Catheter Ablation for Cardiac Arrhythmias 123

Caverject 078

CelebrexTM 002

Cell Analysis 341

Cellular Immunotherapy for Prostate Cancer 268

Cerebrospinal Fluid and Urinary Biomarkers of Alzheimer Disease 581

Cervicography 630

CET 086

Charged-Particle - Proton or Helium Ion - Radiation Therapy 437

Chelation Therapy 122

Chemical Peels 732

Chest Wall Deformity 068

Chicken Pox 132

Chromoendoscopy as an Adjunct to Colonoscopy 904

Chromosomal Microarray Testing for the Evaluation of Early Pregnancy Loss 686

Circulating Tumor DNA and Circulating Tumor Cells for Cancer 797

Cleft Lip 068

Closure Devices for Patent Foramen Ovale 121

CNS Stimulants and Psychotherapeutic Agents 019

Cochlear Implant 478

Collagen Meniscus Implants 110

Colon Hydrotherapy 178

Complementary Medicine 178

Composite Tissue Allotransplantation of the Hand and Face 662

Compound Exclusion List for Pharmacy Medical Policy 579, Compounded Medications 705

Compound Inclusion List for Pharmacy Medical Policy 579, Compounded Medications 704

Compounded Medications 579

Computed Tomography (CT) Abdomen 749

Computed Tomography (CT) Abdomen and Pelvis Combination 750

Computed Tomographic Angiography Coronary Arteries (CCTA) 831

Computed Tomography (CT) Cardiac (Structure) 833

Computed Tomography (CT) Cervical Spine 751

Computed Tomography (CT) Chest 752

Computed Tomography (CT) CT Colonography (Virtual Colonoscopy) 179

Computed Tomography (CT) Head 753

Computed Tomography (CT) Lower Extremity 754

Computed Tomography (CT) Lumbar Spine 755

Computed Tomography (CT) Neck for Soft Tissue Evaluation 756

Computed Tomography (CT) Orbit, Sella Turcica, Posterior Fossa, Temporal Bone, including Mastoids 757

Computed Tomography (CT) Paranasal Sinus & Maxillofacial Area 758

Computed Tomography (CT) Pelvis 791

Computed Tomography (CT) Thoracic Spine 759

Computed Tomography (CT) Upper Extremity 760

Computed Tomography Perfusion Imaging of the Brain 448

Computer-Aided Evaluation of Malignancy with Magnetic Resonance Imaging of the Breast 578

Computer-Assisted Navigation Orthopedic Procedure 594

Computerized 2-lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Disease 312

Computerized Tomography CT Scans 009

Conductive Keratoplasty (CK) 675

Confocal Laser Endomicroscopy 618

Congenital Deformities 068

Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid 107

Continuous Passive Motion in the Home Setting 407

Cooling Devices Used in the Outpatient Setting 510

Corneal Collagen Cross-linking 905

Corneal Endothelial Microscopy-Specular Microscopy 050

Corneal Topography, Computer-Assisted Corneal Topography, and Photokeratoscopy 301 

Cosmetic Drugs 251

Cosmetic Services 068

Cox II Inhibitor Drugs 002

Cranial Electrotherapy Stimulaion - CES and Auricular Electrostimulation 362

Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors 260

Cryosurgical Ablation of Primary or Metastatic Liver Tumors 633

Cryoablation of the Prostate 149

CT Angiography (CTA) Abdomen and Pelvis Combination 761

CT Angiography (CTA) Abdominal Aorta and Bilateral Iliofemoral Lower Extremity 762

CT Angiography (CTA) and MR Angiography (MRA) Abdomen 763

CT Angiography (CTA) and MR Angiography (MRA) Lower Extremity 764

CT Angiography (CTA) and MR Angiography (MRA) Pelvis 765

CT Angiography (CTA) and MR Angiography (MRA) Upper Extremity 766

CT Angiography (CTA) Chest (Non Coronary) 767

CT MR Angiography (CTA MRA) Head Cerebrovascular 768

CT MR Angiography (CTA MRA) Neck 769

Cytochrome p450 Genotyping 256

Cytometry 341

Cytoreductive and Hyperthermic Intraperitoneal Chemotherapy 048

D

Decompression of the Intervertebral Disc Using Laser Energy - or Radiofrequency Coblation - Nucleoplasty 271

Deep Brain Stimulation 473

Dermatologic Applications of Photodynamic Therapy 463

Detection of Circulating Tumor Cells in the Management of Patients with Cancer 265

Diabetes Step Therapy 041

Diabetic Supplies 202

Diagnosis and Management of Idiopathic Environmental Intolerance or Clinical Ecology 264

Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis 352

Diagnosis and Treatment of Sacroiliac Joint Pain 320

Diaphragm Pacing Stimulation 593

Dificid fidaxomicin 700

DNA-Based Testing for Adolescent Idiopathic Scoliosis 545

Donor Lymphocyte Infusion for Malignancies Treated with an Allogeneic Hematopoietic Cell Transplant 338

Dopamine Agonists, non-ergot derived 119

Dopamine Transporter Imaging with Single Photon Emission Computed Tomography - DAT-SPECT 918

Drug Management and Prior Authorization 251

Drug Testing in Pain Management and Treatment of Substance Use Disorders 674

Drugs for Cystic Fibrosis 408

Drugs for Weight Loss 572

Dry Needling and Trigger Point Injections for Myofascial Pain 792

Duchenne muscular dystrophy (DMD) Medications 027

Dynamic Posturography 263

Dynamic Spinal Visualization 195

E

ECG, Signal-Averaged 134

ECT, Electroconvulsive Therapy 319

Edex 078

E-Blue Review 500

Electrical Bone Growth Stimulation of the Appendicular Skeleton 499

Electrical Stimulation for the Treatment of Arthritis 302

Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures 498

Electrical Stimulators 003

Electrical Stimulators, PENS 172

Electrocardiogram 347

Electrocardiographic Body Surface Mapping 289

Electroconvulsive Therapy 319

Electrolysis 068

Electromagnetic Navigation Bronchoscopy 203

Electromyography and Nerve Conduction Studies 701

Electronic Brachytherapy for Nonmelanoma Skin Cancer 739

Electrostimulation and Electromagnetic Therapy for Treating Wounds 655

Embryonic Mesencephalic Transplantation for the Treatment of Parkinsons Disease 625

End Stage Renal Disease 262

End-Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema 648

Endobrachial Ultrasound for Diagnosis and Staging of Lung Cancer 715

Endobronchial Brachytherapy 091

Endometrial Ablation 331

Endoscopic Radiofrequency Ablation or Cryoablation for Barretts Esophagus 218

Endoscopic retrograde cholangiopancreatography - ECRP - with Laser or Electrohydraulic Lithotripsy 209

Endothelial Keratoplasty 180

Endovascular Grafts for Abdominal Aortic Aneurysms 098

Endovascular Procedures for Intracranial Arterial Disease - Atherosclerosis and Aneurysms 323

Endovascular Stent Grafts 077

Endovascular Stent Grafts for Disorders of the Thoracic Aorta 233

Endovascular Therapies for Extracranial Vertebral Artery Disease 730

Enhanced External Counterpulsation - EECP - for Chronic Stable Angina or Congestive Heart Failure 649

Enteral Formula 304

Epidural Injections for Back Pain 690

Epikeratoplasty 675

Epithelial Cell Cytology in Breast Cancer Risk Assessment and High-Risk Patient Management - Ductal Lavage and Suction Collection Systems 492

Epoetin Alpha 262

Epogen 262

Erectile Dysfunction 078

Erythropoietin 262

Esophageal pH Monitoring 069

Evoked Potentials 211

Expanded Molecular Panel Testing of Cancers to Identify Targeted Therapies 790

Extracorporeal Membrane Oxygenation 726

Extracorporeal Photopheresis 248

Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions 081

Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome 613

F

Facet Arthroplasty 174

Facet Joint Denervation 140

Factor VIII 360

FDA-Approved Drugs 251

Fecal Analysis in the Diagnosis of Intestinal Dysbiosis 556

Fecal Calprotectin Testing 329

Fecal Microbiota Transplantation 682

Fentanyl, oral-transmucosal 113

Fetal Immunotherapy 387

Fetal MRI 770

Fetal Ultrasound 007

Flow Cytometry 341

Focal Treatments for Prostate Cancer 733

Follitropin Step Therapy 014

Foot Care 385

Foot Care Services 385

Formulae, Enteral 304

Formulary 433

Functional Magnetic Resonance Imaging (fMRI) Brain 771

Functional Neuromuscular Electrical Stimulation 201

G

Gamma Interferons 052

Garments 158

Gas Permeable Scleral Contact Lens 371

Gastric Bypass 379

Gastric Electrical Stimulation 636

Gastric Stapling 379

Gastroplasty 379

Gene-Based Tests for Screening, Detection, and Management of Prostate Cancer 333

Gene Expression Analysis for Prostate Cancer Management 670

Gene Expression Based Assays for Cancers of Unknown Primary 614

Gene Expression Profiling for Uveal Melanoma 683

Gene Expression Testing in the Evaluation of Patients with Stable Ischemic Heart Disease 349

General Approach to Evaluating the Utility of Genetic Panels 734

General Approach to Genetic Testing 735

Genetic Cancer Susceptibility Panels Using Next Generation Sequencing 574

Genetic Testing for Alpha Thalassemia 520

Genetic Testing for Alpha1- Antitrypsin Deficiency 906

Genetic Testing for Cardiac Ion Channelopathies 082

Genetic Testing for CHARGE Syndrome 540

Genetic Testing for CHEK2 Mutations for Breast Cancer 741

Genetic Testing for Developmental Delay Intellectual Disability, Autism Spectrum Disorder and Congenital Anomalies 228

Genetic Testing for Dilated Cardiomyopathy 601

Genetic Testing for Epilepsy 668

Genetic Testing for Facioscapulohumeral Muscular Dystrophy 535

Genetic Testing for Familial Alzheimers Diseases 580

Genetic Testing for Familial Cutancous Malignant Melanoma 300

Genetic Testing for Fanconi Anemia 714

Genetic Testing for FLT3 and NPM1 Mutations in Cytogenetically Normal Acute Myeloid Leukemia 693

Genetic Testing for FMR1 mutations - including Fragile X Syndrome 907

Genetic Testing for Germline Mutations of the RET Proto-Oncogene in Medullary Carcinoma of the Thyroid 564

Genetic Testing for Helicobacter Pylori Treatment 288

Genetic Testing for Hereditary Breast and or Ovarian Cancer 245

Genetic Testing for Hereditary Hearing Loss 452

Genetic Testing for Hereditary Hemochromatosis 908

Genetic Testing for Hereditary Pancreatitis 516

Genetic Testing for Heterozygous Familial Hypercholesterolemia 796

Genetic Testing for Inherited Thrombophilia 802

Genetic Testing for Lactase Insufficiency 565

Genetic Testing for Li-Fraumeni Syndrome 684

Genetic Testing for Limb-Girdle Muscular Dystrophies 738

Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndromes 226

Genetic Testing for Lipoprotein-a Variants as a Decision Aid for Aspirin Treatment 339

Genetic Testing for Macular Degeneration 665

Genetic Testing for Marfan Syndrome - Thoracic Aortic Aneurysms and Dissections 729

Genetic Testing for Mental Health Conditions 669

Genetic Testing for Muscular Dystrophies 828

Genetic Testing for Neurofibromatosis 793

Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy 909

Genetic Testing for PTEN Hamartoma Tumor Syndrome 615

Genetic Testing for Rett Syndrome 803

Genetic Testing for Statin-Induced Myopathy 575

Genetic Testing for Tamoxifen Treatment 067

Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies 569

Genetic Testing for Warfarin Dose 214

Genetic Testing, Including Chromosomal Microarray Analysis and Next-Generation Sequencing Panels, for the Evaluation of Developmental Delay-Intellectual Disability, Autism Spectrum Disorder, and/or Congenital Anomalies 228

Genetic Testing of CADASIL Syndrome 357

Genetic Testing of Mitochondrial Disorders 685

Genotyping for 9p21 Single Nucleotide Polymorphisms to Predict Risk of Cardiovascular Disease or Aneurysm 340

GIFT 086

Global OB Allowance 255

Globulin, Respiratory Syncytial Virus Immune 422

Glucagon-like Peptide-1 - GLP-1 - Receptor Agonists 282

Glucose Monitors, Blood 202

Guidelines, Medical Technology Assessment 350

Gynecomastia 068

H

Hair Prostheses & transplants 068

Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins during Breast-Conserving Surgery 546

Heart Assist Devices 280

Heart Transplant 197

Heart/Lung Transplant 269

Hematopoietic Cell Transplantation for Autoimmune Diseases 192

Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma 074

Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia 212

Hematopoietic Cell Transplantation for CNS Embryonal Tumors and Ependymoma 205

Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer 204

Hematopoietic Cell Transplantation for Hodgkin Lymphoma 207

Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults 191

Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas 143

Hematopoietic Cell Transplantation for Primary Amyloidosis 181 

Hematopoietic Cell Transplantation for Solid Tumors of Childhood 208

Hematopoietic Cell Transplantation in the Treatment of Germ-Cell Tumors 247

Hematopoietic Stem Cell Transplantation for Acute Lymphoblastic Leukemia 076

Hematopoietic Stem Cell Transplantation for Acute Myeloid Leukemia 150

Hematopoietic Stem Cell Transplantation for Plasma Cell Dyscracias, Including Multiple Myeloma and POEMS Syndrome 075

Hematopoietic Stem-Cell Transplantation for Waldenstrom Macroglobutinemia 322

Hemophilia 360

Hepatitis C Medication Management 344

Herbal Therapy 178

HETLIOZ tasimelteon 697

Hexagonal Keratoplasty 675

High-Dose Rate Temporary Prostate Brachytherapy 353

High-Sensitivity C-Reactive Protein 032

Hip Resurfacing 046

Hippotherapy 560

Holistic Medicine 178

Home Cardiorespiratory Monitoring 224

Home Infusion Therapy 430

Home Infusion Therapy, Prior Authorization Guideline 430

Home Prothrombin Time Monitoring 429

Home Total Parenteral Nutrition 296

Home Uterine Activity Monitoring 043

Homeopathy 178

Homocysteine Testing in the Screening, Diagnosis, and Management of Cardiovascular Disease and Venous Thromboembolic Disease 016

Horizontal Gastric Partitioning 379

Human Anti-hemolytic Factor 360

Human Leukocte Antigen - HLA - Testing for Celiac Disease 567

Hyalgan (Sodium Hyaluronate) 427

Hyperbaric Oxygen Therapy 653

Hypnotherapy 178

Hypnotherapy 423

I

Identification of Microorganisms Using Nucleic Acid Probe 555

Image-Guided Minimally Invasive Decompression for Spinal Stenosis 240

Immune Cell Function Assay in Solid Organ Transplantation 182

Immune Globulin, Respiratory Syncytial Virus 422

Immune Modulating Drugs 004

Immunizations 132

Immunochemical Fecal Occult Blood Testing 135

Immunomodulators, Topical 010

Immunotherapy, Paternal/Fetal 387

Implantable Ambulatory Event Monitors 347

Implantable Bone-Conduction and Bone-Anchored Hearing Aids 479

Implantable Cardioverter Defibrillator 070

Implantable Minature Telescope - IMT 464

Implantable Sinus Stents for Postoperative Use Following Endoscopic Sinus Surgery and Recurrent Sinus Disease 800

Implantation of Intrastromal Corneal Ring Segments 235

In Vivo Analysis of Colorectal Polyps 521

Infergen 052

Infertility Drugs 251

Influenza 132

Influenza Drugs 440

Ingestible pH and Pressure Capsule 045

Inhaled Nitric Oxide as a Treatment of Hypoxic Respiratory Failure in Neonates 100

Injectable Asthma Medications 017

Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence 471

Injections for Osteoarthritis 427

Interferons Alpha and Gamma 052

Interspinous and Interlaminar Stabilization - Distraction Devices - Spacers 584

Insulin Delivery Devices 332

Insulin Potentiation Therapy 532

Intensity-Modulated Radiation Therapy - IMRT - Abdomen and Pelvis 165

Intensity-Modulated Radiation Therapy - IMRT - Cancer of the Head and Neck or Thyroid 164

Intensity Modulated Radiation Therapy - IMRT - Central Nervous System Tumors 910

Intensity-Modulated Radiation Therapy - IMRT - of the Breast and Lung 163

Intensity Modulated Radiation Therapy - IMRT - of the Prostate 090

Intensive Detoxification 274

Interferential Stimulation for Treatment of Pain 509

Interferons 052

Interleukin-2 (IL-2) 103

Interspinous Distraction Devices or Spacers 584

Interspinous Fixation - Fusion Devices 436

Interventions for Progressive Scoliosis 550

Intracavitary Balloon Catheter Brain Brachytherapy for Malignant Gliomas or Metastasis to the Brain 602

Intracellular Micronutrient Analysis 073

Intraocular Radiation Therapy for Age-Related Macular Degeneration 610

Intraoperative Motor Evoked Potentials 211

Intraoperative Radiation Therapy 278

Intraoperative Somatosensory Evoked Potentials 211

Intraoperative Visual Evoked Potentials 211

Intrastromal ring segments 675

Intravascular Brachytherapy for Preventing and Managing Restenosis after Percutaneous Transluminal Angioplasty - PTA 650

Intravascular Ultrasound 007

Intravenous Anesthetics for the Treatment of Chronic Pain 291 

Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease 171

Intravenous Immunoglobulin 310

Intravitreal Angiogenesis Inhibitors for Choroidal Vascular Conditions 343

Intravitreal Angiogenesis Inhibitors for Retinal Vascular Conditions 401

Intravitreal Corticosteroid Implants 272 

Invasive Prenatal (Fetal) Diagnostic Testing 708

InVitro Chemoresistance and Chemosensitivity Assays 253

Iontophoresis and Phonophoresis as a Transdermal Technique for Drug Delivery 095

Iridology 178

Islet Transplantation 324

Isolated Limb Perfusion or Infusion for Malignant Melanoma 124

Isolated Small Bowel Transplant 631

IVC 086

IVF 086

IVIg 310

J

Jaw Disorders (TMJ) 035

Jejunoileal Bypass 379

Jet Injectors, Insulin 332

Jet Pressure Infusion System 332

Joint Fluid Replacement: Synvisc® and Hyalgan® Injections for Osteoarthritis 427

K

Keratectomy, Photorefractive 675

Keratomileusis 675

Keratophakia 675

Keratoplasty, Lamellar 675

Keratoprosthesis 221

Ketogenic Diet 304

Kidney Transplant 196

KIF6 Genotyping for Predicting Cardiovascular Risk and or Effectiveness of Statin Therapy 129

KIT (c-KIT) Mutation Analysis 829

KRAS and BRAF Mutation Analysis in Metastatic Colorectal Cancer 104 

L

Laboratory Testing for HIV Tropism 008

Laboratory and Genetic Testing for Use of 5-Fluorouracil in Patients with Cancer 318

Laboratory Tests for Heart Transplant Rejection 530

Lamellar Keratoplasty 675

Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids 244

Laser Bullectomy 364

Laser Treatment of Active Acne 461

Laser Treatment of Onychomycosis 562

Laser-assisted Uvuloplatoplasty (LAUP) 130

LASIK 675

Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation 334

Leukocyte Histamine Release Test 589

Life-Support 273

Light Therapy for Psoriasis 698

Limb Perfusion, Isolated 124

Lipectomy 068

Lipid Apheresis 465

Liposuction 068

Liver Transplantation 198

Lobar Lung Transplantation 015

Low-Level Laser Therapy 522

Lung Volume Reduction Surgery for Severe Emphysema 364

Lung Transplantation 015

Lung-Heart Transplant 269

LVRS 364

Lymerix 132

Lysis of Epidural Adhesions 598

M

Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease 920

Magnetic Resonance Imaging (MRI) Abdomen - Cholangiopancreatography (MRCP) Abdomen 773

Magnetic Resonance Imaging (MRI) Bone Marrow Blood Supply 798

Magnetic Resonance Imaging (MRI) Breast 774

Magnetic Resonance Imaging (MRI) Cardiac 835

Magnetic Resonance Imaging (MRI) Cervical Spine 775

Magnetic Resonance Imaging (MRI) Chest 776

Magnetic Resonance Imaging (MRI) Head Brain 777

Magnetic Resonance Imaging (MRI) Lumbar Spine 778

Magnetic Resonance Imaging (MRI) of the Lower Extremity (Joint & Non-Joint) 779

Magnetic Resonance Imaging MRI, MRA, MRV, MRS 106

Magnetic Resonance Imaging (MRI) Orbit, Face & Neck (Soft Tissues) 780

Magnetic Resonance Imaging (MRI) Pelvis 781

Magnetic Resonance Imaging (MRI) Temporomandibular Joint (TMJ) 782

Magnetic Resonance Imaging (MRI) Thoracic Spine 783

Magnetic Resonance Imaging (MRI) Upper Extremity (Any Joint) 784

Magnetic Resonance Imaging (MRI) Upper Extremity (Non-Joint) 785

Magnetic Resonance Imaging Targeted Biopsy of the Prostate 747

Magnetoencephalography and Magnetic Source Imaging 137

Management of Obstructive Sleep Apnea - OSA Oral Appliances 529

Management of Obstructive Sleep Apnea - OSA using Auto-Titrating Postive Airway Pressure - APAP and Continuous Positive Airway Pressure - CPAP Devices 526

Mandible, TMJ 035

Manipulation under Anesthesia 483

Massachusetts Standard Form for Medication Prior Authorization Requests 434

Massage therapy 178

Mastopexy 068

Maxillofacial Surgery including Mandibular or Maxillary Advancement Surgery 130

Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders 524

Measurement of Lipoprotein-Associated Phospholipase A2 - Lp-PLA2 - in the Assessment of Cardiovascular Risk 558

Measurement of Serum Antibodies to Infliximab and Adalimumab 917

Mechanical Embolectomy for Treatment of Acute Stroke 184

Med UM Drug List 034

Med UM and Pharmacy Prior Authorization 033

Medical and Surgical Management of Obesity including Anorexiants 379

Medical Policy Group Schedule 501

Medical Technology Assessment Guidelines 350

Medical Technology Assessment Investigational (Non-Covered) Services List 400 

Medicare Part D Coverage Determination Request Form 442

Melanoma Vaccines 453

Meniscal Allografts and Other Meniscal Implants 110

MESA 086

Methadone Treatment and Intensive Detoxification or Ultra-Rapid Detoxification for Opiate Addiction 274

Microarray-Based Gene Expression Profile Testing for Multiple Myeloma Risk Stratification 477

Microfertilization 086

Microprocessor Controlled Prostheses for the Lower Limb 133

Microvolume Straw Technique 086

Microwave Tumor Ablation 912

Mind-Body Medicine 178

Mineral Density Studies 450

Minimally Invasive Coronary Artery Bypass Graft Surgery 553

Minimally Invasive Surgery for Snoring 130

Mini-radial Keratotomy 675

Miscellaneous Genetic and Molecular Diagnostic Tests 712

Moderate Penetrance Variants Associated With Breast Cancer in Individuals at High Breast Cancer Risk 722

Molecular Analysis for Targeted Therapy of Non-Small Cell Lung Cancer 563

Molecular Markers in Fine Needle Aspirates of the Thyroid 913

Molecular Testing for the Management of Pancreatic Cysts or Barrett Esophagus 566

Molecular Testing in the Management of Pulmonary Nodules 029

Molecular Panel Testing of Cancers to Identify Targeted Therapies 637

Monitored Anesthesia Care - MAC 154

Monitors, Blood Glucose 202

Monitors, Blood Pressure 206

Morphine 251

MR Angiography (MRA) Chest 786

MR Angiography (MRA) Spinal Canal 789 

MRI-Guided Focused Ultrasound - MRgFUS 243

Multianalyte Assays with Algorithmic Analyses for Predicting Risk of Type 2 Diabetes 654

Multigene Expression Assay for Predicting Recurrence in Colon Cancer 239

Multimarker Serum Testing Related to Ovarian Cancer 249

Multiple Sleep Latency Testing - MSLT and Maintenance of Wakefulness Testing - MWT 534

Multispectral Digital Skin Lesion Analysis 748

Multitarget PCR Testing for Diagnosis of Bacterial Vaginosis 711

Musculoskeletal Transplant 068

Muse 078

Myelodysplastic Syndromes 155

Myeloproliferative Neoplasms 155

Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure 576

Myoelectric Prosthetic Components for the Upper Limb 227

N

Nail Debridement 385

Natrecor 031

Naturopathic Medicine 178

Navigated Transcranial Magnetic Stimulation 596

Negative Pressure Wound Therapy in the Outpatient Setting 543

Nerve Fiber Density Measurement 393

Nerve Graft in Association with Radical Prostatectomy 590

Nesiritide 031

Neural Therapy 914

Neurofeedback 515

Neuropsychological Testing 039

New Drug Approval Program 005

Nicotine Products 251

Nocturnal Penile Tumescence 078

Non Covered Drug List 433

Non-BRCA Breast Cancer Risk Assessment - e.g., OncoVue 188

Noncontact Ultrasound Treatment for Wounds 657

Noninvasive Fractional Flow Reserve Using Computed Tomography Angiography 028

Non-Invasive Vascular Studies - Duplex Scans 691

Noninvasive Fetal RHD Genotyping Using Cell-Free Fetal DNA 667

Noncontact Radiant Heat Bandage for the Treatment of Wounds 656

Noninvasive Prenatal Testing for Trisomy 21 Using Cell-Free Fetal DNA 628

Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease 921

Nonpharmacologic Treatment of Rosacea 462

NORIF 086

Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease 283

Nuclear Cardiology Cardiac Blood Pool Imaging 830

Nuclear Cardiology Infarct Imaging 834

Nuclear Cardiology Myocardial Perfusion Imaging 836

Nutrient - Nutritional Panel Testing 745

Nutrition, Home Total Parenteral 296

O

OB Global Allowance 255

Obesity Surgery 379

Obstetrical Services 255

Obstetrical Ultrasound and Ultrasound for Family Planning 007

Obstructive Sleep Apnea 130

Occipital Nerve Stimulation 237

Occlusion of Uterine Arteries Using Transcatheter Embolization 242

Ocular Photodynamic Therapy 599

Omalizumab 017

Oncologic Applications of Photodynamic Therapy, Including Barretts Esophagus 454

Oncology Drugs 409

Open and Thoracoscopic Approaches to Treat Atrial Fibrillation - Maze and Related Procedures 356

Ophthalmic Prostaglandins 346

Ophthalmologic Techniques That Evaluate the Posterior Segment for Glaucoma 053

Opiate Addiction 274

Opioid Medication Management 102

Optic Keratoplasty 675

Optical Coherence Tomography of the Anterior Eye Segment 084

Optical Coherence Tomography for Imaging of Coronary Arteries 915

Optical Diagnostic Devices for Evaluating Skin Lesions Suspected of Malignancy 519

Oral Appliances, TMJ 035

Oral Contraceptive 251

Oral Splints 035

Orthopedic Applications of Platelet-Rich Plasma 737

Orthopedic Applications of Stem Cell Therapy 254

Orthoptic and/or Pleoptic Training 611

Orhtoptic Training for the Treatment of Vision or Learning Disabilities 611

Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders 120

Osteoarthritis of the Knee 427

Outpatient Cardiac Rehabilitation 060

Outpatient Cognitive Rehabilitation 660

Outpatient Electroconvulsive Therapy 319

Outpatient Psychotherapy 423

Outpatient Pulmonary Rehabilitation 136

Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome 266

Overactive Bladder Medications 170

Oxidative Therapy 178

P

Palatal Stiffening Procedures including Injection of a Sclerosing Agent 130

Panniculectomy 068

Paraspinal Surface Electromyography - SEMG - to Evaluate and Monitor Back Pain 517

Partial Left Ventriculectomy 438

Paternal or Fetal Immunotherapy for Recurrent Fetal Loss 387

Patient-Actuated End Range Motion Stretching Devices 721

Patient-Specific Cutting Guides for Knee Arthroplasty 706 

Pectus Carinatum 068

Pectus Excavatum 068

Pelvic Floor Stimulation as a Treatment of Urinary Incontinence and Fecal Incontinence 470

Penile Implants 078

Penile Revascularization 078

Pens, Insulin Delivery 332

Percutaneous Balloon Kyphoplasty and Mechanical Vertebral Augmentation 485

Percutaneous Electrical Nerve Stimulation - PENS - and Percutaneous Neuromodulation Therapy - PNT 172

Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty 482

Percutaneous Lumbar Discectomy 231

Percutaneous Transluminal Angioplasty 077

Percutaneous Vertebroplasty and Sacroplasty 484

Perfusion, Isolated Limb 124

Peripheral Subcutaneous Field Stimulation 513

Peroral Endoscopic Myotomy for Treatment of Esophageal Achalasia 451

PET Scanning in Oncology REDIRECT to 229 335

Pharmacogenomic & Metabolite Markers for Patients Treated with Thiopurines 096 

Pharmacogenetic Testing for Pain Management 724

Pharmacy, Formulary 433

Phosphodiesterase Type-5 Inhibitors for Pulmonary Arterial Hypertension 036

Photocoagulation of Macular Drusen 607

Photodynamic Therapy for Choroidal Neovascularization 599

Photorefractive Keratectomy 675

Phototherapeutic Keratectomy 597

Phototherapy Light for the Treatment of Seasonal Affective - SAD - and Other Depressive Disorders 037

Phototherapy: PUVA and UV-B 059

PKU 304

Placental or Umbilical Cord Blood as a Source of Stem Cells 285

Plasma Exchange 466

Plastic Surgery 068

Plugs for Fistula Repair 528

Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers 354 

Pneumococcal 132

Polarity Therapy 178

Polysomnography and Home Sleep Testing 525

Positron Emission Tomography, Other PET Applications, Including Oncologic Tumor Imaging 229

Positron Emission Tomography (PET) Brain 903

Positron Emission Tomography (PET) Myocardial Imaging 837

POST 086

Percutaneous Tibial Nerve Stimulation for Voiding Dysfunction 583

Postsurgical Outpatient Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis 541

Post-symptom Electrocardiograms 347

Posturography, Dynamic 263

Powered Exoskeleton for Ambulation in Patients with Lower Limb Disabilities 718

Preauthorization Request Form for 379 Surgical Management of Obesity Policy 047

Pregabalin (Lyrica) 057

Pregnancy, Ultrasound 007

Preimplantation Genetic Testing 088

Preventive Screening Tests 413

Prior Auth, Infusion Therapy 430

Prior Authorization Medication Instruction Form 023

Procrit 262

Procuren 251

Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to Ischemia 652

Prolotherapy, Joint Sclerotherapy and Ligamentous Injections with Sclerosing Agents 183

Prostaglandin 078

Prostate Ultrasound 007

Prostatic Urethral Lift 744

Proteogenomic Testing for Patients With Cancer (GPS CancerTM Test) 838

Proteomic Testing for Targeted Therapy in Non-Small Cell Lung Cancer 709

Prothrombin Time (PT) 429

Proton Pump Inhibitors 030

Psychiatric Facility, Transport to 273

Psychoanalysis 423

Psychological Testing 363

Psychotherapy, Outpatient 423

PTA 077

Pumps, Insulin 332

Q

Qi Gong 178

Quality Care Dosing - QCD - Guidelines 621

Quality Care Dosing - QCD - Guidelines Drug List 727

Quantitative Assay for Measurement of HER2 Total Protein Expression and HER2 Dimers 397

Quantitative Electroencephalography as a Diagnostic Aid for Attenion-Deficit Hyperactivity Disorder 554 

Quantitative Sensory Testing 258

R

Rabies, Immunizations 132

Radial Keratotomy 675

Radiation Therapy, Intraop 278 

Radioactive Seed Localization of Nonpalpable Breast Lesions 469

Radioembolization for Primary and Metastatic Tumors of the Liver 292

Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors 259

Radiofrequency Ablation of Peripheral Nerves to Treat Pain 794

Radiofrequency Ablation of Primary or Metastatic Liver Tumors 286

Radiofrequency Ablation of the Renal Sympathetic Nerves as a Treatment for Resistant Hypertension 919

Radiofrequency Volumetric Tissue Reduction of the Palatal Tissues 130

Radiofrequency Volumetric Tissue Reduction of the Tongue 130

Radioimmunoscintigraphy Imaging and Monoclonal Antibody Imaging Using In-111 Satumomab Pendetide - OncoScint - or Tc-99m Arcitumomab - IMMU-4, CEA-Scan 638

Radioimmunoscintigraphy Imaging and Monoclonal Antibody Imaging Using Technetium-99m Nofetumomab Merpentan - Verluma 640

Radioimmunoscintigraphy Imaging and Monoclonal Antibody Imaging with Indium-111 Capromab Pendetide for Prostate Cancer 639

Radioimmunotherapy in the Treatment of Non-Hodgkin Lymphoma 146

Rapid Detoxification 274

Recombinant Human 262

Reconstructive Breast Surgery-Management of Breast Implants 428

Reconstructive Surgery 068

REDIRECT to MP 790 - 637

Reduction Mammaplasty for Breast-Related Symptoms 703

Reflexology 178

Rehabilitation, Cardiac 060

Reiki 178

Repetitive Transcranial Magnetic Stimulation - rTMS 297

Request for Clinical Exception to BCBSMA Charged Particle - Proton Beam - Policy and Notification 678

Request for Clinical Exception to BCBSMA Intensity Modulated Radiation Therapy (IMRT) Policy and Notification 325

Request for Clinical Exception to BCBSMA Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy - SBRT - Policy 922

RespiGamTM 422

Respiratory Syncytial Virus Immune Globulin 422

Responsive Neurostimulation for the Treatment of Refractory Partial Epilepsy 716

Restasis - Topical Ocular Hydrating Agents 426

Restorative Surgery 068

Retin A 251

Retinal Imaging 065

Retinal Prosthesis 606

Retinal Telescreening for Diabetic Retinopathy 065

Revascularization, Penile 078

Reverse Shoulder Arthroplasty 161

Rhinomanometry and Acoustic or Optical Rhinometry 586

Rhinophyma 068

Rhinoplasty 068

Rhytidectomy 068

Ritalin 251

Rolfing 178

RotaShield® 132

Routine Foot Care and Debridement of Toenails 385

RSV-IGIV 422

 

S

Sacral Nerve Neuromodulation/Stimulation 153

SAECG 134

Saturation Biopsy for Diagnosis and Staging of Prostate Cancer 307

Scintimammography, Breast-Specific Gamma Imaging, and Molecular Breast Imaging 494

Scleral Lens 371

Selective Internal Radiation Therapy 278

Semi-Implantable and Fully Implantable Middle Ear Hearing Aid 480

Sensory Integration Therapy 659

SEP 211

Serological Diagnosis of Celiac Disease 138

Serum Antibodies for the Diagnosis of Inflammatory Bowel Disease 551

Serum Biomarker Human Epididymis Protein 4 - HE4 290

Serum Biomarker Panel Testing for Systemic Lupus Erythematosus and Other Connective Tissue Diseases 702

Serum Biomarker Tests for Multiple Sclerosis 676

Serum Holotranscobalamin as a Marker of Vitamin B12 - Cobalamin - Status 561

Serum Tumor Markers for Breast and Gastrointestinal Malignancies 538

Sex Reassignment Surgery 068

Sexual Dysfunction 078

Shoulder Resurfacing 156

Signal-Averaged Electrocardiography - SAECG 134

Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions 507

Small Bowel, Liver, and Multivisceral Transplant 632

Somatosensory Evoked Potentials 211

Special Formulae 304

Sperm Penetration Assay 086

Sphenopalatine Ganglion Block for Headache 026

Spinal Cord and Dorsal Root Ganglion Stimulation 472

Spinal Muscular Atrophy (SMA) Medications 044

Splints, Oral 035

ST2 Assay for Chronic Heart Failure 723

Stapling, Gastric 379

Stem-cell Therapy for Peripheral Arterial Disease 348

Stereotactic Radiofrequency Pallidotomy for the Treatment of Parkinsons Disease 626

Stereotactic Radiosurgery and Stereotactic Body Radiotherapy 277

Sterilization Reversal 086

Stimulators 003

Stimulators, PENS 172

Stockings 158

Sublingual Immunotherapy with Allergen-specific Pollen Extracts - SLIT 681

Subtalar Arthroereisis 299

Suprachoroidal Delivery of Pharmacologic Agents 609

Surgery for Athletic Pubalgia 695

Surgical Deactivation of Headache Trigger Sites 801

Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dysmenorrhea 570

Surgical Management of Obesity 379

Surgical Procedures, Ambulatory 389

Surgical Treatment of Femoroacetabular Impingement 145

Surgical Treatment of Gynecomastia 661

Surgical Treatment of Snoring 130

Surgical Ventricular Restoration 544

Surrogacy 086

Syncytial Virus Immune Globulin, Respiratory 422

Synvisc® 427

Systems Pathology in Prostate Cancer 250

T

T-Wave Alternans 539

Tattoos 068

Technology Assessment Guidelines 350

Tectonic or Optic Keratoplasty 675

Temporomandibular Joint Dysfunction 035

Testing Serum Vitamin D Levels 746

Therapies Physical, Occupational and Speech 215

Thermal Capsulorrhaphy as a Treatment of Joint Instability 591

Thermography 342

Thoracic Aortic Aneurysms or Dissections 077

Thoracoscopic Laser Ablation of Emphysematous Pulmonary Bullae 275

Threshold Electrical Stimulation as a Treatment of Motor Disorders 321

Thromboendarterectomy 077

Tilt Table Testing 359

Toenails, Debridement of 385

Topical Testosterone 345

Total Ankle Replacement 193

Total Artificial Hearts and Implantable Ventricular Assist Devices 280

Total Parenteral Nutrition 296

TPN, Total Parenteral Nutrition 296

Traditional Surgical Approaches to Tongue Modification 130

Transanal Endoscopic Microsurgery 200

Transanal Radiofrequency Treatment of Fecal Incontinence 309

Transcatheter Aortic-Valve Implantation for Aortic Stenosis 392

Transcatheter Arterial Chemoembolization - TACE - to Treat Primary or Metastatic Liver Malignancies 634

Transcatheter Mitral Valve Repair 692

Transcatheter Pulmonary Valve Implantation 403

Transcranial Doppler US 007

Transcrainial Magnetic Stimulation 319

Transcutaneous Electrical Nerve Stimulation 003

Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease 635

Transgender Services 189

Transmyocardial Revascularization 651

Transplant, Allogeneic Pancreas 328

Transplant, Heart 197

Transplant, Heart-Lung 269

Transplant, Kidney/ Renal 196

Transplant, Liver 198

Transplant, Lobar Lung 015

Transplant, Lung 015

Transplant, Musculoskeletal 068

Transport to Psychiatric Facility 273

Transpupillary Thermotherapy for the Treatment of Choroidal Neovascularization 600

Transrectal Ultrasound 007

Transrectal Ultrasound for Staging Rectal Cancer 679

Transrectal Ultrasound of the Protate 680

Transtelephonic Transmission 347

Transtympanic Micropressure Applications as a Treatment of Menieres Disease 508

Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence 523

Transvaginal Ultrasound 007

Travel immunizations 132

Treatment of Hyperhidrosis excluding Botulinum Toxin 406

Treatment of Tinnitus 267

Treatment of Varicose Veins and Venous Insufficiency 238

Tyrosine Kinase Mutations in Myeloproliferative Neoplasms 079

Tumescence Test 078

Tumor Markers for Diagnosis and Management of Cancer 167

Tumor-Treatment Fields Therapy for Glioblastoma 514

U

Ultrafiltration in Decompensated Heart Failure 542

Ultrasonographic Evaluation of Skin Lesions 303

Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis 547

Ultrasound 007

Ultrasound Accelerated Fracture Healing Device 497

Ultrasound During Pregnancy 007

Ultrasound for the Evaluation of Paranasal Sinuses 445

Ultrasound, Cranial 007

Ultrasound, Duplex 007

Ultrasound, Fetal, 007

Ultrasound, Intravascular 007

Ultrasound, Obstetrical 007

Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral 742

Urinary Tumor Markers for Bladder Cancer 502

Use of Common Genetic Variants (Single Nucleotide Variants) to Predict Risk of Nonfamilial Breast Cancer 252

Uterine Monitoring 043

Uvulopalatopharyngoplasty 130

V

Vaccine/Vaccination 132

Vagus Nerve Blocking Therapy for Treatment of Obesity 644

Vagus Nerve Stimulation 474

Varicella, Immunizations 132

Vectra DA Blood Test for Rheumatoid Arthritis 677

Ventricular Assist Devices 280

Ventriculectomy 438

Vertebral Axial Decompression 603 

Vertebral Fracture Assessment with Densitometry 449

Vertical Expandable Prosthetic Titanium Rib 305

Vestibular Dysfunction 263

Vestibular Function Testing 024

Viagra 078

VioxxTM 002

Viscocanalostomy and Canaloplasty 372

Vision Services 675 

Visual Evoked Potentials 211

W

Wearable Cardioverter Defibrillators 042

Weight Loss Drugs 379

Wheelchairs 276

Whole-Body Computed Tomography Scan as a Screening Test 447

Whole Body Dual X-Ray Absorptiometry to Determine Body Composition 577

Whole Exome Sequencing 457

Wigs 068

Wireless Capsule Endoscopy as a Diagnostic Technique in Disorders of the Small Bowel, Esophagus, and Colon 185

Wireless Pressure Sensors in Endovascular Aneurysm Repair 306

X

Xolair 017

Y

Yohimbine 078

Z

ZIFT 086