| Ablative Treatment for Malignant Breast Tumor - (0540) |
PDF |
238kB |
04/15/2025 |
| Alveoloplasty - (0586) ---- future effective policy |
PDF |
198kB |
12/01/2025 |
| Athletic Pubalgia Surgery - (0522) |
PDF |
208kB |
07/15/2025 |
| Balloon Sinus Ostial Dilation for Chronic Sinusitis and Eustachian Tube Dilation - (0480) |
PDF |
466kB |
05/15/2025 |
| Bariatric Surgery and Procedures - (0051) |
PDF |
1250kB |
08/15/2025 |
| Benign Prostatic Hyperplasia (BPH) Surgical Treatments - (0159) |
PDF |
308kB |
02/15/2025 |
| Blepharoplasty, Reconstructive Eyelid Surgery, and Brow Lift - (0045) |
PDF |
309kB |
04/15/2025 |
| Bone Graft Substitutes - (0118) |
PDF |
302kB |
02/15/2025 |
| Breast Implant Removal - (0048) |
PDF |
294kB |
01/15/2025 |
| Breast Reconstruction Following Mastectomy or Lumpectomy - (0178) |
PDF |
626kB |
04/15/2025 |
| Breast Reduction - (0152) |
PDF |
270kB |
08/15/2024 |
| Breast Reduction - (0152) ---- future effective policy |
PDF |
268kB |
11/15/2025 |
| Cardiac Ablation of Abnormal Electrical Rhythms in Adults - (0529) |
PDF |
347kB |
07/15/2025 |
| Cardiac Resynchronization Therapy (CRT) - (0174) |
PDF |
566kB |
06/15/2025 |
| Cell-Based Therapy for Cardiac and Peripheral Arterial Disease - (0287) |
PDF |
329kB |
05/15/2025 |
| Circumcision - (0582) |
PDF |
346kB |
05/15/2025 |
| Cochlear and Auditory Brainstem Implants - (0190) |
PDF |
510kB |
11/15/2024 |
| Corneal Remodeling for Refractive Errors - (0141) |
PDF |
324kB |
12/15/2024 |
| Deep Brain, Motor Cortex and Responsive Cortical Stimulation - (0184) |
PDF |
605kB |
12/15/2024 |
| Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554) |
PDF |
544kB |
03/15/2025 |
| Diaphragmatic/Phrenic Nerve Stimulation - (0391) |
PDF |
226kB |
07/15/2025 |
| Endometrial Ablation - (0013) |
PDF |
256kB |
02/15/2025 |
| Fetal Surgery - (0175) |
PDF |
302kB |
07/15/2025 |
| Gender Dysphoria Treatment - (0266) |
PDF |
343kB |
08/18/2025 |
| Gender Dysphoria Treatment - State Guidelines |
PDF |
137kB |
08/18/2025 |
| Glaucoma Surgical Procedures - (0035) |
PDF |
427kB |
04/15/2025 |
| Gynecomastia Surgery - (0195) |
PDF |
218kB |
08/15/2025 |
| Headache, Occipital, and/or Trigeminal Neuralgia Treatment - (0063) |
PDF |
443kB |
06/15/2025 |
| High Intensity Focused Ultrasound (HIFU) - (0274) |
PDF |
259kB |
12/15/2024 |
| Hyperhidrosis: Surgical Treatments - (0037) |
PDF |
251kB |
03/15/2025 |
| Intraocular Lens Implant - (0125) |
PDF |
274kB |
09/15/2024 |
| Intraoperative Monitoring - (0509) |
PDF |
644kB |
09/15/2024 |
| Lymphedema and Lipedema Surgical Treatments - (0531) |
PDF |
603kB |
11/15/2024 |
| Male Sexual Dysfunction Treatment: Non-pharmacologic - (0403) |
PDF |
286kB |
08/15/2025 |
| Mammary Ductoscopy, Aspiration and Lavage - (0057) |
PDF |
315kB |
01/15/2025 |
| Manipulation Under Anesthesia - (0276) |
PDF |
289kB |
10/15/2024 |
| Metatarsophalangeal Joint Replacement - (0446) |
PDF |
281kB |
09/15/2024 |
| Orthognathic Surgery - (0209) |
PDF |
247kB |
10/15/2024 |
| Otoplasty and External Ear Reconstruction - (0335) |
PDF |
404kB |
04/15/2025 |
| Panniculectomy and Abdominoplasty - (0027) |
PDF |
230kB |
03/15/2025 |
| Pelvic Denervation Procedures - (0368) |
PDF |
231kB |
06/15/2025 |
| Peripheral Nerve Destruction for Pain Conditions - (0525) |
PDF |
626kB |
02/15/2025 |
| Redundant Skin Surgery - (0470) |
PDF |
227kB |
06/15/2025 |
| Rhinoplasty, Vestibular Stenosis Repair and Septoplasty - (0119) |
PDF |
455kB |
06/15/2024 |
| Stem Cell Therapy for Orthopaedic Applications - (0552) |
PDF |
272kB |
12/15/2024 |
| Subtalar Joint Implantation (Subtalar Arthroereisis) - (0486) |
PDF |
231kB |
10/15/2024 |
| Surgical Treatment for Chest Wall Deformities - (0309) |
PDF |
262kB |
04/15/2025 |
| Surgical Treatments for Obstructive Sleep Apnea - (0158) |
PDF |
444kB |
12/15/2024 |
| Temporomandibular Joint (TMJ) Disorder Surgery - (0156) |
PDF |
281kB |
12/15/2024 |
| Tissue Engineered Skin Substitutes - (0068) |
PDF |
1707kB |
08/15/2025 |
| Total Ankle Arthroplasty/Replacement - (0285) |
PDF |
267kB |
03/15/2025 |
| Transcatheter Closure of Cardiovascular Defects - (0011) |
PDF |
452kB |
02/15/2025 |
| Transcatheter Heart Valve Procedures - (0501) |
PDF |
951kB |
03/15/2025 |
| Transcranial Magnetic Stimulation - (EN0383) |
PDF |
679kB |
03/15/2025 |
| Treatment of Cutaneous and/or Deep Tissue Hemangioma, Port Wine Stain and Other Vascular Lesions - (0313) |
PDF |
333kB |
08/15/2025 |
| Vagus Nerve Stimulation (VNS) - (0350) |
PDF |
465kB |
02/15/2025 |
| Ventricular Assist Devices (VADs), Percutaneous Cardiac Support Systems and Total Artificial Heart - (0054) |
PDF |
602kB |
01/15/2025 |
| Wide-Area Transepithelial Tissue Sampling with Computer-Assisted 3D Analysis (WATS3D) - (0578) |
PDF |
278kB |
11/15/2024 |