Medical and Payment Policies

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Medical
Image Guided Minimally Invasive Spinal Decompression for Spinal Stenosis
Immune Cell Function Assay
Implantable Bone Conduction and Bone Anchored Hearing Aids
Implantation of Anterior Segment Intraocular Nonbiodegradable Drug-Eluting System
Ingestible Devices for the Treatment of Constipation
Ingestible pH and Pressure Capsule
Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
Interferential Current Stimulation
Interspinous and Interlaminar Stabilization/Distraction Devices (Spacers)
Interventions for Progressive Scoliosis
Interventions for Progressive Scoliosis, Effective 12/1/2024
Intra-Articular Hyaluronan Injections for Osteoarthritis
Intracellular Micronutrient Analysis
Intraocular Radiotherapy for Age-Related Macular Degeneration
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Conditions Efective 3/1/2025
Intravitreal and Punctum Corticosteroid Implants
Islet Transplantation
Payment
Immunizations Adult and Pediatric
Inactive Provider Termination
Inpatient Admission
Intensive Behavioral Therapy (IBT) for Obesity
Intraocular Lens (IOL) Implant
Prior Authorization
Identification of Microorganisms Using Nucleic Acid Probes
Identification of Microorganisms Using Nucleic Acid Probes, Effective 1/1/2025
Implantation of Intrastromal Corneal Ring Segments
In Vitro Chemoresistance and Chemosensitivity Assays
Infertility Services
Intensity-Modulated Radiotherapy
Invasive Prenatal (Fetal) Diagnostic Testing
Invasive Prenatal (Fetal) Diagnostic Testing, Effective 1/1/2025