Kaiser Permanente Washington Medical Policy Updates – December 2022

Click here to view the Kaiser Permanente Washington Medical Policy Updates »

 December 2022 Kaiser Permanente Washington Medical Policy Updates:

• Ambulatory Surgery Center (ASC) – Site of Care Policy
• Cardiac Ambulatory Monitoring for Extended Duration
• Cervical Fusion (Anterior or Posterior)
• Dermal Fillers for Facial Lipoatrophy
• Genetic Screening and Testing
• Infertility Services
• Infrared Thermography
• InFUSETM Bone Graft
• Inhaled Nitric Oxide (iNO) Therapy
• Inpatient – Total Joint Arthroplasty
• Inpatient Skilled Nursing Facility
• Ketamine for the Treatment of Depression and Other Psychiatric Disorders
• Laser Treatments for Snoring and Sleep Apnea
• Liver Transplant
• Lymphedema Therapy/ Lymphedema Therapy Training
• Magnetic Resonance Guided Focused Ultrasound for Treatment of Uterine Fibroids (MRgFUS)
• Mobility Assistive Devices
• Monitored Anesthesia Care (MAC) for Gastrointestinal Endoscopic Procedures
• Osteogenic (Bone) Stimulators
• Outpatient Surgical Procedures –Site of Care This list of codes applies to the Clinical Criteria titled: Ambulatory Surgery Center (ASC) – Site of Care Policy
• PDF: mri_thoracic.pdf
• Pharmacogenomic Testing
• Photodynamic Therapy (PDT)
• Positron Emission Tomography (PET) Scan
• Radioimmunoscintigraphy
• ReliefBand® Device
• Scintimammography
• Speech Generating Devices
• Stereotactic Radiation (Radiosurgery/Focused Beam/Gamma Knife)
• Thermal Capsulorrhaphy for Shoulder Instability
• Treatment of Varicose Veins
• Treatments for Stress Urinary Incontinence
• Uvulopalatopharyngoplasty (UPPP)

Click here to view the Kaiser Permanente Washington Medical Policy Updates »

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