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Medical Policy

Index

Please note: We are continually adding items to improve this index. If you are unable to find the term you are looking for, may we suggest you use the search engine at the top of this page to conduct a search for the term.

Last updated: (March 1, 2024)

A

[1,25(OH)2D]

[25(OH)D]

1,25-dihydroxyvitamin D

12-gene expression test

12-gene test

-13910 C>T

18-gene expression test

23andme

25-hydroxyvitamin D

360 fusion

4Kscore test

912-M10

9p21 Genotype Test

9p21 testing

AARS

AASM practice parameters

AATD

AB42

AB-42 protein

ABA

ABA

Abdominal aortic aneurysm

AbioCor

AbioCor; total artificial heart

Abiomed

Ablatherm Integrated Imaging®
Ablation
Ablation
Abnormal uterine bleeding
Absorbable implant

AC Cornea

ACADIA Facet Replacement System

Accelerate Sport Platelet Concentration system (Exactech)
Accelerated fracture healing system
ACCLARENT AERA™ Eustachian Tube Balloon Dilation System (ACCLARENT)

AccuFlex

ACCULINK™

ACCUNET™

Accu-Spina System™ (North American Medical Corp.)

Acell
Acellular dermal matrix

Acetabular retroversion

Acetabular Rim syndrome

aCGH
aCGH

Achilles tendinopathy

ACI
ACT®

Actigraph

Actigraphy

Actim® PROM Test (Medix Biochemica)

Active Tremor Control System

Active-B12

Actiwatch

Acute respiratory distress syndrome; ARDS

Acute fracture
Acute Treatment

Acute Lymphoblastic Leukemia (ALL); allogeneic

Acute Lymphoblastic Leukemia (ALL); autologous stem cell transplant

Acute Myelogenous Leukemia (AML); autologous cell transplant

AD7C

Adalimumab

Adaptive
Adaptive radiotherapy
Addiction
Addiction medicine
Adenomyosis

Adenosine Triphosphate (ATP) Bioluminescence Assay

ADHD

ADHD

ADHD

Adhesiolysis, epidural

Adipose-derived stem cells, breast reconstruction

Adjacent segment degeneration

Adjustable balloon continence device
AdMark CSF analysis

ADMark CSF Profile

Adoptive cellular therapy
Adoptive immunotherapy

Adrenoleukodystrophy; allogeneic

ADSC, breast reconstruction

Advance nerve conduction

ADVANCE system

Advanced Bionics

Advanced sleep phase syndrome (ASPS)

Aeon
Aerial™ Interspinous Fixation

Aesculap Activ-L

AFAP

afatinib (GILOTRIF™) (Beohringer Ingelheim)

AFF2
Affinity

Affix II and Affix II Mini spinous process plate system (Nuvasive)

Age-related macular degeneration

Aging, salivary hormone testing

Aileron posterior fusion system (Life Spine)

Air ambulance

Air transport

AKL-T01

Alair Bronchial Thermoplasty System

Albers-Schönberg disease; allogeneic

ALCAT

Alcoholic liver disease (ALD)

ALK rearrangments
Allergy Immunotherapy; sublingual

Allergy testing

Allevio™ SPG Nerve BLock Catheter
Alloderm
Allogen
Allogeneic hematopoietic cell transplantation (HCT)

Allogeneic human mesenchymal stem cell (hMSC)

Allogeneic hematopoietic cell transplantation (HCT); Acute Myeloid Leukemia

Allogeneic islet cell transplantation

Allograft bone product

AlloHSCT

Alloimmunization

AlloMap™, heart transplant rejection

Allomend
Allopatch

AlloSCT

Alloskin
Allostem® (AlloSource)
Allowrap
Alpers
Alpha IMS

Alpha Stim

Alpha-1 antitrypsin

Alpha-1 antitrypsin deficiency

Alpha-fetoprotein (AFP)

Alpha-fetoprotein (AFP)

alpha-Mannosidosis; beta-Mannosidosis; Mucolipidosis III and IV

Alpha-Stim

AlphaStim 100

AlphaStim personal pain manager

AlphaStim PPM

AlphaStim PPM (personal pain manager)

AlphaStim SCS (stress control system)

AlphaStim Therapy

Alpha-thalassemia

Alternative current (AC), electrical stimulation

AlzheimAlert (Nymox Pharmaceutical Corp)

Alzheimer disease

Alzheimer's dementia

Alzheimer's disease

Alzheimer's disease, biochemical markers

Alzheimer's disease, diagnostic tests

Ambiodisk

Ambry Genetics

Ambulatory surgery center
Ambulatory surgical center
AMD

AMD

American Society of Addiction Medicine
American Society of Anesthesiologists
Amicus Separator System

AML

Amnio
Amnioband
Amniocentesis
Amniorepair
Amniotext
Amniotic

Amnisure

AmpliChip (Roche Molecular Systems, Inc.)

Amputee

Amsterdam

Amsterdam signature

Amyloid beta peptide

Amyloid precursor gene

Amyloidosis, Light Chain

Amyloidosis; autologous stem cell transplant

Amyloidosis; Primary Systemic; allogeneic

Amyotrophic Lateral Sclerosis

Anal Fistula Plug

Anatomic Facet Replacement System

Aneurysm

Angelman
AngelMed

AngioGuard™ embolic protection device

Angioplasty and stenting, carotid artery

Angioplasty/stenting, venous

Angioplasty; carotid artery

Angle-closure glaucoma; angle closure glaucoma

Anophthalmia

Anora®

Anser ADA

Anser IFX

ANSiStim

Antalgic-Trak (Spinetronics)

Anterior lumbar interbody fusion (ALIF)

Anterior or posterior accessory saphenous vein

Anterior or posterior accessory saphenous vein

Anterior segment optical imaging

Anti-adalimumab antibodies

Antibodies

Antibodies-to-infliximab

Antibody

Anti-cancer, Inc; Histoculture Drug Response Assay

Anti-EGFR monoclonal antibody therapy (cetuximab; panitumumab)
Antigen loaded dendritic cells

Antigen leukocyte cellular antibody

Antigen-specific T-cell receptors

Antihyperlipidemics (statins, fibrates, and niacin)

Anti-infliximab antibodies

Anti-KRAS

Anti-lipid medication

Antipsychotics

Anti-TNF agent

Antituberculosis or anti-tuberculosis
Anxiety

Anxiety

Aortic stenosis
Aortic valve

APC

APC-associated polyposes

Aperius-PercLID Lumbar Interspinous Decompression (Kyphon/Medtronic)

Apical cysts

Aplasia; pure red cell or white cell

Aplastic anemia; allogeneic

APLD

Apligraf
Aplio

apo e2 allele; apo e3 allele; apo e4 allele

APOB

apoe or apo E

Apolipoprotein E (APOE)

Apolipoprotein E for risk assessment and management of cardiovascular disease

Applied behavior analysis

Applied behavior analysis

Applied behavioral analysis

Applied behavioral analysis

Applied Kinesiology

Aquabeam
Aquablation
Aqueous oxygen therapy

AR1000 Ultrasonic Wound Therapy System

Archus

Area under the curve (AUC) test; 5FU

Area under the curve (AUC) testing, 5-Fluorouracil (5-FU) dosing

Argus 16

Argus I; Argus 16; Argus 60

Argus II

ARMS2 gene

Array Comparative Genomic Hybridization (aCGH)

Arrhythmia and Cardiomyopathy Comprehensive Panel
Artacent

Arthrex PropStop Plus

Arthritis, electrical stimulation

Arthrocare Coblation System 2000 (Smith & Nephew)

Arthrodesis

Arthrodesis

Arthroereisis, subtalar

Arthroflex
Artificial pancreas
Artificial pancreas device system (APDS)

Artificial disc replacement

Artificial heart

Artificial intervertebral disc

ARUP Laboratories
ASAM
Asclera (Merz North America, Inc.)

ASD

ASD

ASH FirboSURE

ASH Test

AS-OCT

Aspen spinal anchor

Aspen spinous process fixation system

Asthma treatment

Asthmatx Inc

Astrocytoma; autologous cell transplant

ATA

ATA Monoplace hyperbaric system

Ataxia
Ataxia
Athena

Atherosclerosis

ATI

Atomoxetine HCI

Atrial fibrillation

Atriclip
Attention-deficit/hyperactivity disorder

Attention-deficity/hyperactivity disorder

Attenuated FAP

Audiant Bone Conductor

Audiant™ Bone Conductor

Auditory osseointegrated device

Auricular electro-acupuncture

Auricular electrostimulation

Aurix

Autism

Autism
Autism spectrum disorders

Autism spectrum disorders

Auto-adjusting positive airway pressure (APAP)

AutoChill

Auto-fluorescence Imaging

AutoGrasp

AutoHSCT
Autoimmune Lymphoproliferative Syndrome Panel

Autoimmune diseases; allogeneic

Autoimmune diseases; autologous stem cell transplant

Autoimmune hemolytic anemia

Autoimmune hemolytic anemia; allogeneic

Autoimmune hemolytic anemia; autologous stem cell transplant

Autoimmune hepatitis and cryptogenic cirrhosis; allogeneic

Autoimmune hepatitis and cryptogenic cirrhosis; autologous stem cell transplant

Autoinflammatory

Autologel

Autologous Chondrocyte Implantation
Autologous dendritic cells

Autologous islet cell transplantation

Autologous lymph node transplantation

Autologous cell transplant, heart diesease

Autologous chondrocyte transplant; knee and ankle joints

Autologous fat grafting, breast

Autolymphocyte therapy

Automated percutaneous discectomy (APD)

Automated Percutaneous Lumbar Discectomy (APLD)

Automated stool-DNA-based (sDNA)

Automated food test

Automated hand-held nerve conduction device

Automated percutaneous discectomy

Automated percutaneous mechanical discectomy

Automated Point of Care nerve conduction studies

AutoSCT

AVAmax® Vertebral Balloon system (Carefusion)

Avascular necrosis of the femoral head; osteonecrosis
Aveir

Aviara H/ISM

Aviara MGISM

Avise

Axial pain

Axial rotation unit

AxiaLIF

Axillary-subclavian venous thrombosis (Paget-Schroeffer Syndrome)

Axis-Shield, Holo-TC

Axis-Shield, Holo-TC Assay

Axium Neurostimulator System

Axle interspinous fusion system (X-Spine)

Axolotl

Axon-II

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