Medicine (Medical Treatments/Diagnostic Tests)

Document Title Document Type Document Size Effective Date
Adoptive Immunotherapy - (0225)   PDF 706kB 11/15/2022
Allergy Testing and Non-Pharmacologic Treatment - (0070)  PDF 371kB 12/03/2023
Attention-Deficit/Hyperactivity Disorder (ADHD): Assessment and Treatment - (0231)  PDF 440kB 01/15/2023
Autologous Platelet-Derived Growth Factors (Platelet-Rich Plasma [PRP]) - (0507)  PDF 410kB 10/15/2023
Bone Mineral Density Measurement - (0300)  PDF 373kB 04/15/2023
Cardiac Rehabilitation (Phase II Outpatient) - (0073)  PDF 441kB 05/15/2023
Cell-Based Therapy for Cardiac and Peripheral Arterial Disease - (0287)  PDF 444kB 04/15/2023
Colorectal Cancer Screening and Surveillance - (0148)  PDF 447kB 11/15/2023
Computerized Dynamic Posturography (CDP) - (0270)  PDF 230kB 12/15/2022
COVID-19: In Vitro Diagnostic Testing - (0557)  PDF 389kB 12/03/2023
Donor Lymphocyte Infusion and Hematopoietic Progenitor Cell (HPC) Boost - (0261)  PDF 266kB 05/15/2023
Drug Testing - (0513)  PDF 247kB 12/03/2023
Electroencephalography - (0521)  PDF 269kB 12/03/2023
Exhaled Nitric Oxide in the Management of Respiratory Disorders - (0439)  PDF 427kB 12/15/2022
External Counterpulsation - (0058)  PDF 300kB 05/15/2023
Extracorporeal Photopheresis - (0320)   PDF 212kB 08/15/2023
Foot Care Services - (0277)  PDF 223kB 03/15/2023
Gait Analysis - (0315)  PDF 224kB 04/15/2023
Gastrointestinal Endoscopic Procedure Esophagogastroduodenoscopy (EGD)  Online Resource
Headache, Occipital, and/or Trigeminal Neuralgia Treatment - (0063)  PDF 477kB 06/15/2023
Head and Neck Ultrasound - (0549)  PDF 363kB 10/15/2023
Helicobacter Pylori Serology Testing –(0308)  PDF 212kB 05/15/2023
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation - (0539)  PDF 338kB 04/15/2023
Phototherapy, Photochemotherapy, Excimer Laser, Dermabrasion and Chemical Peels for Dermatologic Conditions - (0505)  PDF 510kB 12/03/2023
Plantar Fasciitis Treatments - (0097)  PDF 475kB 02/15/2023
Plasma Brain Natriuretic Peptide in the Outpatient Setting - (0028)  PDF 322kB 05/15/2023
Surgical Treatments for Obstructive Sleep Apnea - (0158)  PDF 383kB 10/15/2023
Tilt Table Testing - (0066)  PDF 176kB 11/12/2023
Tissue Engineered Skin Substitutes - (0068)  PDF 1723kB 08/15/2023
Transthoracic Echocardiography in Adults - (0510)  PDF 191kB 12/03/2023
Transthoracic Echocardiography in Children - (0523)  PDF 897kB 10/15/2023
Transvaginal Ultrasound, Non-Obstetrical - (0398)  PDF 314kB 12/03/2023