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Medicare Medical Policy Archive Search



Name
Type
State
Effective
Automatic External Defibrillator Medical Policy KY Medicare 04/15/18
Automatic External Defibrillator Medical Policy NC Medicare 04/15/18
Automatic External Defibrillator Medical Policy OH Medicare 04/15/18
Automatic External Defibrillator Medical Policy PA Medicare 04/15/18
Botox Drug
Policy
NC Medicare 08/01/17
Botox Drug
Policy
PA Medicare 08/01/17
Bronchial Thermoplasty Medical Policy KY Medicare 08/01/17
Bronchial Thermoplasty Medical Policy NC Medicare 08/01/17
Bronchial Thermoplasty Medical Policy OH Medicare 08/01/17
Bronchial Thermoplasty Medical Policy PA Medicare 08/01/17
Cardiac Pacemaker Evaluation Services Medical Policy PA Medicare 04/15/18
Carpal Tunnel Medical Policy KY Medicare 09/15/17
Carpal Tunnel Medical Policy NC Medicare 09/15/17
Carpal Tunnel Medical Policy OH Medicare 09/15/17
Carpal Tunnel Medical Policy PA Medicare 09/15/17
Cataract Extraction Medical Policy KY Medicare 01/01/17
Cataract Extraction Medical Policy NC Medicare 01/01/17
Cataract Extraction Medical Policy OH Medicare 01/01/17
Cataract Extraction Medical Policy PA Medicare 01/01/17
Chromosomal Microarray Medical Policy KY Medicare 12/01/17
Chromosomal Microarray Medical Policy OH Medicare 12/01/17
Chromosomal Microarray Medical Policy PA Medicare 12/01/17
Cochlear Implantation Medical Policy KY Medicare 04/15/18
Cochlear Implantation Medical Policy NC Medicare 04/15/18
Cochlear Implantation Medical Policy OH Medicare 04/15/18
Cochlear Implantation Medical Policy PA Medicare 04/15/18
Exondys 51 Drug
Policy
KY Medicare 05/01/17
Exondys 51 Drug
Policy
NC Medicare 05/01/17
Exondys 51 Drug
Policy
PA Medicare 05/01/17
Exondys 51 Drug
Policy
OH Medicare 05/01/17
Faslodex Drug
Policy
KY Medicare 05/01/17
Faslodex Drug
Policy
NC Medicare 05/01/17
Faslodex Drug
Policy
OH Medicare 05/01/17
Faslodex Drug
Policy
PA Medicare 05/01/17
G-CSF Drug
Policy
KY Medicare 05/01/2017
G-CSF Drug
Policy
NC Medicare 05/01/2017
G-CSF Drug
Policy
OH Medicare 05/01/17
G-CSF Drug
Policy
PA Medicare 05/01/2017
Herceptin Drug
Policy
PA Medicare 08/01/2017
Hyperbaric Oxygen Therapy Medical Policy NC Medicare 02/15/18
Hyperbaric Oxygen Therapy Medical Policy OH Medicare 02/15/18
Hyperbaric Oxygen Therapy Medical Policy PA Medicare 02/15/18
Interleukin-5 Inhibitors Drug
Policy
KY Medicare 05/01/17
Interleukin-5 Inhibitors Drug
Policy
NC Medicare 05/01/17
Interleukin-5 Inhibitors Drug
Policy
OH Medicare 05/01/17
Interleukin-5 Inhibitors Drug
Policy
PA Medicare 05/01/17
Keytruda Drug
Policy
PA Medicare 08/01/17
Kyprolis Drug
Policy
PA Medicare 08/01/17
Ocrevus Drug
Policy
KY Medicare 08/01/17
Ocrevus Drug
Policy
NC Medicare 08/01/17
Ocrevus Drug
Policy
OH Medicare 08/01/17
Ocrevus Drug
Policy
PA Medicare 08/01/17
Opdivo Drug
Policy
PA Medicare 07/15/18
Opdivo Drug
Policy
PA Medicare 05/01/17
Outpatient Sleep Studies Medical PolicyPA Medicare06/01/2018
Perjeta Drug
Policy
PA Medicare 08/01/17
Perjeta Drug
Policy
NC Medicare 05/01/17
Pharmacogenomic Testing for Warfarin Response Medical Policy PA Medicare 11/15/18
Portrazza Drug
Policy
PA Medicare 07/19/17
Pulmonary Rehabilitation Medical Policy KY Medicare 12/01/17
Pulmonary Rehabilitation Medical Policy NC Medicare 12/01/17
Pulmonary Rehabilitation Medical Policy OH Medicare 12/01/17
Pulmonary Rehabilitation Medical Policy PA Medicare 12/01/17
Remicade Drug
Policy
PA Medicare 08/01/17
Rituxan Drug
Policy
PA Medicare 08/01/17
Soliris Medical Policy PA Medicare 11/15/18
Soliris Drug
Policy
PA Medicare 01/15/18
Soliris Drug
Policy
NC Medicare 07/19/17
Soliris Drug
Policy
PA Medicare 07/19/17
Spinraza Drug
Policy
KY Medicare 07/19/17
Spinraza Drug
Policy
NC Medicare 07/19/17
Spinraza Drug
Policy
OH Medicare  
Spinraza Drug
Policy
PA Medicare 07/19/17
Subcutaneous Implantable Cardioverter Defibrillator Medical Policy KY Medicare 09/15/17
Subcutaneous Implantable Cardioverter Defibrillator Medical Policy NC Medicare 09/15/17
Subcutaneous Implantable Cardioverter Defibrillator Medical Policy OH Medicare 09/15/17
Subcutaneous Implantable Cardioverter Defibrillator Medical Policy PA Medicare 09/15/17
Supervised Exercise Therapy for PAD Medical PolicyNC Medicare12/15/2018
Supervised Exercise Therapy for PAD Medical PolicyOH Medicare12/15/2018
Supervised Exercise Therapy for PAD Medical PolicyPA Medicare12/15/2018
Surveillance of Implantable or Wearable Cardioverter Defibrillators (ICDs) Medical Policy PA Medicare 04/15/18
Testing of Genetic Disease Medical Policy PA Medicare 11/15/18
Testing of Genetic Disease Medical Policy PA Medicare 12/01/17
Tysabri Drug
Policy
KY Medicare 05/01/17
Tysabri Drug
Policy
NC Medicare 05/01/17
Tysabri Drug
Policy
OH Medicare 05/01/17
Tysabri Drug
Policy
PA Medicare 05/01/17
Velcade Drug
Policy
KY Medicare 07/19/17
Velcade Drug
Policy
OH Medicare 07/19/17
Velcade Drug
Policy
PA Medicare 07/19/17
Vimizim Drug
Policy
KY Medicare 05/01/17
Vimizim Drug
Policy
NC Medicare 05/01/17
Vimizim Drug
Policy
OH Medicare 05/01/17
Vimizim Drug
Policy
PA Medicare 05/01/17
Xolair Drug
Policy
KY Medicare 05/01/17
Xolair Drug
Policy
NC Medicare 05/01/17
Xolair Drug
Policy
OH Medicare 05/01/17
Xolair Drug
Policy
PA Medicare 05/01/17
Yervoy Drug
Policy
KY Medicare 05/01/17
Yervoy Drug
Policy
OH Medicare 05/01/17
Yervoy Drug
Policy
PA Medicare 05/01/17
Self-contained Cardiac Pacemakers Medical PolicyPA Medicare04/15/2018
Automatic External Defibrillators Medical PolicyPA Medicare04/15/2018
Electrocardiographic Services Medical PolicyPA Medicare06/01/2018
Electrical Nerve Stimulator Medical PolicyPA Medicare04/15/2018
Spinal Cord Stimulation (Dorsal Column Stimulation) Medical PolicyPA Medicare06/01/2018
Self-contained Cardiac Pacemakers Medical PolicyOH Medicare04/15/2018
Transtelephonic Monitoring Medical PolicyOH Medicare04/15/2018
Automatic External Defibrillators Medical PolicyOH Medicare04/15/2018
Electrocardiographic Services Medical PolicyOH Medicare06/01/2018
Electrical Nerve Stimulator Medical PolicyOH Medicare04/15/2018
Self-contained Cardiac Pacemakers Medical PolicyNC Medicare04/15/2018
Transtelephonic Monitoring Medical PolicyNC Medicare04/15/2018
Automatic External Defibrillators Medical PolicyNC Medicare04/15/2018
Electrocardiographic Services Medical PolicyNC Medicare06/01/2018
Electrical Nerve Stimulator Medical PolicyNC Medicare04/15/2018
Cochlear Implantation Medical PolicyNC Medicare04/15/2018
Cochlear Implantation Medical PolicyOH Medicare04/15/2018
Cochlear Implantation Medical PolicyPA Medicare04/15/2018
Plethysmography Medical PolicyNC Medicare04/15/2018
Plethysmography Medical PolicyOH Medicare04/15/2018
Plethysmography Medical PolicyPA Medicare04/15/2018
TMS Medical PolicyNC Medicare 04/15/2018
TMS Medical PolicyOH Medicare04/15/2018
TMS Medical PolicyPA Medicare04/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyNC Medicare 04/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyOH Medicare04/15/2018
Assessing Suitability for Electrical Nerve Stimulation Therapy Medical PolicyPA Medicare04/15/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyNC Medicare06/01/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyPA Medicare06/01/2018
Custom Made Oral Appliances for Obstructive Sleep Apnea (OSA) Medical PolicyOH Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyNC Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyOH Medicare06/01/2018
CPAP for Obstructive Sleep Apnea (OSA) Medical PolicyPA Medicare06/01/2018
Polysomnography and Other Sleep Studies Medical PolicyNC Medicare06/01/2018
Polysomnography and Other Sleep Studies Medical PolicyOH Medicare06/01/2018
Noninvasive Peripheral Venous Studies Medical PolicyPA Medicare06/01/2018
Polysomnography and Other Sleep Studies Medical PolicyPA Medicare06/01/2018
Cataract Extraction Medical PolicyPA Medicare07/15/2019
Cataract Extraction Medical PolicyNC Medicare07/15/2019
Cataract Extraction Medical PolicyOH Medicare07/15/2019
Brineura Drug PolicyOH Medicare07/15/2019
Brineura Drug PolicyPA Medicare07/15/2019
Bronchial Thermoplasty Medical PolicyNC Medicare07/15/2019
Pulmonary Rehabilitation Medical PolicyNC Medicare07/15/2019
Pulmonary Rehabilitation Medical PolicyOH Medicare07/15/2019
Pulmonary Rehabilitation Medical PolicyPA Medicare07/15/2019
CV Nuclear Medicine Medical PolicyOH Medicare07/15/2019
CV Nuclear Medicine Medical PolicyPA Medicare07/15/2019
Cardiac Radionuclide Imaging Medical PolicyNC Medicare07/15/2019
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyNC Medicare07/15/2019
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyOH Medicare07/15/2019
Percutaneous Transluminal Angioplasty (PTA) Medical PolicyPA Medicare07/15/2019
Ambulatory Blood Pressure Monitors Medical PolicyNC Medicare07/15/2019
Ambulatory Blood Pressure Monitors Medical PolicyOH Medicare07/15/2019
Ambulatory Blood Pressure Monitors Medical PolicyPA Medicare07/15/2019
Cataract Removal Reimbursement Policy Medical PolicyPA Medicare07/15/2018
Cataract Removal Questionnaire Medical PolicyPA Medicare07/15/2018
Glucose Monitoring Medical PolicyNC Medicare09/01/2018
Glucose Monitoring Medical PolicyOH Medicare09/01/2018
Glucose Monitoring Medical PolicyPA Medicare09/01/2018
Noninvasive Assessment of Liver Fibrosis Medical PolicyNC Medicare09/15/2017
Noninvasive Assessment of Liver Fibrosis Medical PolicyOH Medicare09/15/2017
Noninvasive Assessment of Liver Fibrosis Medical PolicyPA Medicare09/15/2017
Chromosomal Microarray Medical PolicyPA Medicare09/01/2018
Chromosomal Microarray Medical PolicyNC Medicare12/01/2017
Chromosomal Microarray Medical PolicyOH Medicare09/01/2018
Carpal Tunnel Medical PolicyNC Medicare09/15/2018
Carpal Tunnel Medical PolicyOH Medicare09/15/2018
Carpal Tunnel Medical PolicyPA Medicare09/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyNC Medicare09/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyOH Medicare09/15/2018
Subcutaneous Implantable Cardioverter Defibrillator Medical PolicyPA Medicare09/15/2018
Brineura Drug PolicyNC Medicare02/18/2019
Brineura Drug PolicyOH Medicare02/18/2019
Brineura Drug PolicyPA Medicare02/18/2019
Ambulance (Ground) Medical PolicyOH Medicare09/15/2018
Ambulance Services (Air) Medical PolicyOH Medicare09/15/2018
Ambulance Services (Ground) Medical PolicyNC Medicare09/15/2018
Ambulance Services (Ground) Medical PolicyPA Medicare09/15/2018
Ambulance Services(Air) Medical PolicyPA Medicare09/15/2018
Implantable Automatic Defibrillators Medical PolicyNC Medicare04/15/2018
Implantable Automatic Defibrillators Medical PolicyOH Medicare04/15/2018
Implantable Automatic Defibrillators Medical PolicyPA Medicare04/15/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyOH Medicare09/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyKY Medicare09/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyNC Medicare09/01/2018
Noninvasive Technique for the Evaluation of Liver Fibrosis Medical PolicyPA Medicare09/01/2018
Spinraza Drug PolicyNC Medicare07/15/2018
Spinraza Drug PolicyOH Medicare07/15/2018
Botox Drug PolicyPA Medicare07/15/2018
Opdivo Drug PolicyPA Medicare10/01/2018
Testing of Genetic Disease Medical PolicyPA Medicare11/15/2018
Exondys 51 Drug PolicyNC Medicare07/15/2018
Exondys 51 Drug PolicyOH Medicare07/15/2018
Exondys 51 Drug PolicyPA Medicare07/15/2018
Ocrevus Drug PolicyPA Medicare07/15/2018
Xolair Drug PolicyNC Medicare07/15/2018
Xolair Drug PolicyOH Medicare07/15/2018
Xolair Drug PolicyPA Medicare07/15/2018
Vimizim Drug PolicyNC Medicare07/15/2018
Vimizim Drug PolicyOH Medicare07/15/2018
Vimizim Drug PolicyPA Medicare07/15/2018
Tysabri Drug PolicyNC Medicare07/15/2018
Tysabri Drug PolicyOH Medicare07/15/2018
Tysabri Drug PolicyPA Medicare07/15/2018
Exondys 51 Drug PolicyNC Medicare07/15/2018
Exondys 51 Drug PolicyOH Medicare07/15/2018
Exondys 51 Drug PolicyPA Medicare07/15/2018
Ocrevus Drug PolicyKY Medicare07/15/2018
Ocrevus Drug PolicyNC Medicare07/15/2018
Ocrevus Drug PolicyOH Medicare07/15/2018
Botox Drug PolicyNC Medicare07/15/2018
Adcetris Drug PolicyPA Medicare07/15/2018
Portrazza Drug PolicyPA Medicare07/15/2018
Alimta Drug PolicyPA Medicare07/15/2018
Herceptin Drug PolicyPA Medicare07/15/2018
Keytruda Drug PolicyPA Medicare07/15/2018
Kyprolis Drug PolicyPA Medicare07/15/2018
Rituxan Drug PolicyPA Medicare07/15/2018
Pharmacogenomic Testing for Warfarin Response Medical PolicyPA Medicare11/15/2018
Faslodex Drug PolicyPA Medicare07/15/2018
Perjeta Drug PolicyPA Medicare07/15/2018
Yervoy Drug PolicyPA Medicare07/15/2018
Hyperbaric Oxygen Therapy Medical PolicyPA Medicare12/15/2018
Biomarkers Overview Medical PolicyPA Medicare12/15/2018
Supervised Exercise Therapy for PAD Medical PolicyPA Medicare12/15/2018
Implantable Cardioverter Defibrillator Medical PolicyPA Medicare10/21/2019