008 Laboratory Testing for HIV Tropism
039 Neuropsychological Testing
042 Wearable Cardioverter Defibrillators
048 Cytoreduction and Hyperthermic Intraperitoneal Chemotherapy
050 Corneal Endothelial Microscopy
053 Ophthalmologic Techniques to Evaluate the Retinal Nerve Fiber Layer
055 Assays of Genetic Expression in Tumor Tissue
060 Outpatient Cardiac Rehabilitation
061 Bisphosphonates, Infusion-Injection
065 Screening for Diabetic Retinopathy
067 Genetic Testing for Tamoxifen Treatment
070 Implantable Cardioverter Defibrillator
082 Genetic Testing for Congenital Long QT Syndrome
083 Spinal, Vagal, Deep Brain, Cerebellar Stimulation
084 Anterior Eye Segment Optical Imaging
085 Image Guided Radiation Therapy for Prostate Cancer
088 Preimplantation Genetic Testing
090 Intensity Modulated Radiation Therapy of the Prostate
091 Endobronchial Brachytherapy
096 Pharmacogenomic and Metabolite Markers for Patients Treated with Azathioprine (6-MP)
097 Bone Morphogenetic Protein
098 Endovascular Grafts for Abdominal Aortic Aneurysms (AAA)
100 Inhaled Nitric Oxide as a Treatment of Hypoxic Respiratory Failure in Neonates
101 Biventricular Pacemakers for the Treatment of Congestive Heart Failure
104 KRAS Mutation Analysis in Metastatic Colorectal Cancer
105 Percutaneous Vertebroplasty and Percutaneous Kyphoplasty
107 Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
108 Medicare Advantage Prescription Drug Prior Authorization Criteria
109 Medicare Advantage Prescription Drug Step Therapy Criteria
110 Meniscal Allograft Transplantation
111 Osteochondral Allograft Transplantation, Osteochondral Autograft Transplantation
112 Cinryze (C1 Inhibitor (Human))
113 Fentanyl, oral-transmucosal
114 Epidermal Growth Factor Receptor (EGFR) Inhibitors
119 Dopamine Agonists, non-ergot derived
120 Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders
121 Closure Devices for Patent Foramen Ovale and Atrial Septal Defects
130 Minimally Invasive Surgery for Snoring, Obstructive Sleep Apnea/Upper Airway Resistance Syndrome
133 Microprocessor Controlled Prostheses for the Lower Limb
135 Immunochemical Fecal Occult Blood Testing
136 Outpatient Pulmonary Rehabilitation
137 Magnetoencephalography-Magnetic Source Imaging
138 Serological Diagnosis of Celiac Disease
139 Magnetic Resonance Imaging to Monitor Integrity of Gel Filled Breast Implants
140 Radiofrequency Facet Joint Denervation
141 Radiofrequency Ablation of the Pulmonary Vein for Treatment of Atrial Fibrillation
142 Anti-CCP testing for rheumatoid arthritis
143 Hematopoietic Stem Cell Transplantation for Non-Hodgkin Lymphomas
150 Hematopoietic Stem cell Transplantation for Acute Myeloid Leukemia
166 Outpatient Medical Prior Authorization Form
277 Stereotactic Radiosurgery & Stereotactic Body Radiation Therapy
812 Managed Care, Indemnity and PPO Guidelines Processing Information
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