Abatacept (Orencia®)
Abdominoplasty, Panniculectomy
& Lipectomy
Ablation of Peripheral Nerves to Treat Pain
Absorbable Nasal Implant for Treatment of Nasal Valve Collapse
Accelerated Breast Irradiation & Brachytherapy Boost After Breast-Conserving Surgery for Early-Stage Breast Cancer
Acoustic Cardiography
Actigraphy
Acupuncture & Dry Needling
Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast
Adjustable Cranial Orthoses for Positional Plagiocephaly & Craniosynostoses
Ado-Trastuzumab Emtansine (Trastuzumab-DM1) for Treatment of HER-2 Positive Malignancies
Adoptive Immunotherapy
Advanced Therapies for Pharmacologic Treatment of Pulmonary Hypertension
Aerosolized Antibiotics as a Treatment of Chronic Sinusitis
Air Fluidized Beds
Alcohol Injections for Treatment of Peripheral Neuromas
Alemtuzumab (Lemtrada)
Allergen Testing
Allergy Immunotherapy
Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes & Myeloproliferative Neoplasms
Allogeneic Hematopoietic Stem-Cell Transplantation for Genetic Diseases and Acquired Anemias
Allogeneic Pancreas Transplant
Ambulance & Medical
Transport
Services
Ambulatory Event Monitors & Mobile Cardiac Outpatient Telemetry
Amniotic Membrane & Amniotic Fluid
Amniotic Membrane & Limbal Stem Cell Transplantation for the Treatment of Ocular Conditions
ANA/ENA Testing
Anesthesia Services
Angelchik™ Anti-Reflux Prosthesis
Antineoplaston Therapy & Sodium Phenylbutyrate
Aqueous
Shunts & Devices for Glaucoma
Arthroscopic Debridement & Lavage as Treatment for Osteoarthritis of the Knee
Artificial
Pancreas
Device
Systems
Auditory Brainstem Implant
Autografts & Allografts in the Treatment of Focal Articular Cartilage Lesions
Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions
Autologous Hematopoietic Stem-Cell Transplantation for Malignant Astrocytomas
& Gliomas
Automated Ambulatory Blood Pressure Monitoring for the Diagnosis of Hypertension in Patients With Elevated Office Blood Pressure
Automated Percutaneous and Percutaneous Endoscopic Discectomy
Automated Point-of-Care Nerve Conduction Tests
Autonomic Nervous System Testing
Back
School
Balloon Dilatation
of Prostate
Balloon Dilation of the Eustachian Tube
Balloon Sinuplasty for Treatment of Chronic
Sinusitis
Bariatric
Surgery
Baroreflex Stimulation Devices
BCR-ABL1 Testing in Chronic Myelogenous Leukemia & Acute Lymphoblastic Leukemia
Behavioral Health Guidelines
Belinostat (Beleodaq)
Bevacizumab in Advanced Adenocarcinoma of the Pancreas
Bevacizumab (Avastin) for Oncologic Use
Biochemical Markers of Alzheimer Disease & Dementia
Biofeedback as a Treatment of Chronic Pain
Biofeedback as a Treatment of Fecal Incontinence or Constipation
Biofeedback as a Treatment of Headache
Biofeedback as a Treatment of Urinary Incontinence in Adults
Biofeedback for Miscellaneous Indications
Bioimpedance Devices for Detection & Management of Lymphedema
Biomarker Testing for Multiple Sclerosis & Related Neurologic Diseases
BioZorb®
Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure
Blepharoplasty (Upper & Lower)
Blinatumomab (Blincyto)
Bone Morphogenetic Protein
Bone
Turnover Markers
Testing
Botulinum Toxin
Brachytherapy for Clinically Localized Prostate Cancer Using Permanently Implanted Seeds
BRAF Genetic Testing in Patients with Melanoma
Brain
Natriuretic Peptide
(BNP)
BRCA
Breast Duct Endoscopy
Breast Pumps
Breast Surgical Procedures/Prosthesis
Brexanolone for Postpartum Depression
BRINEURA (cerliponase alfa)
Bronchial Thermoplasty
Bronchial Valves
Bulking Agents for the Treatment of Vocal Cord Paralysis
Buprenorphine Implant for Treatment of Opioid Dependence
Canalith Repositioning as a Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
Cardiac Biomarkers for Myocardial Infarction
Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
Cardiac Rehabilitation in the Outpatient Setting
Cardiovascular Disease Risk Assessment
Catheter Ablation as Treatment for Atrial Fibrillation
Catheter Ablation for Cardiac Arrhythmias
CD 5 Complement Inhibitors
Celiac
Disease
Testing
Cell Transplantation (Mesencephalic, Adrenal-Brain & Fetal Xenograft)
Cellular Immunotherapy for Prostate Cancer
Cemiplimab-rwlc (Libtayo®)
Cervical Cancer Screening Technologies with Pap & HPV
Cervical
Spine Procedures
Chelation Therapy for Off-Label Uses
Chemical
Peels
Chemotherapy Drugs & the Administration by Physicians for the Treatment of Cancer
Chiropractic Services
Chromoen-doscopy as an Adjunct to Colonoscopy
Chromosomal Microarray
Chronic Intermittent Intravenous Insulin Therapy (CIIIT)
Chronic Pulmonary Thromboendart-erectomy
Cimzia® (certolizumab pegol)
Clinical Trials for Cancer
& Life-Threatening Conditions
Cochlear Implant
Cognitive Rehabilitation
Colorectal Cancer Screening
Composite Tissue Allotransplan- tation of the Hand & Face
Computer-Assisted Navigation for Orthopedic Procedure
Computerized 2-lead Resting Electrocardiogram Analysis for the Diagnosis of Coronary Artery Disease
Concurrent Care
Confocal Laser Endomicro-scopy
Conjunctival Incision with Posterior Juxtascleral Placement of Anecortave Acetate Depot Suspension
Continent Ileostomy & Urostomy
Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid
Continuous Passive Motion (CPM) in the Home Setting
Cranial Electrotherapy Stimulation (CES) & Auricular Electrostimulation
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate Tumors or Dermatologic Tumors
Cryosurgical Ablation of Primary or Metastatic Liver Tumors
Cutaneous Electrogastro-graphy (EGG)
Daily Hemodialysis & Hemodialysis in the Home Setting
Daratumumab (Darzalex®) Injection
Decompression of the Intervertebral Disc Using Laser (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty™)
Deep Brain Stimulation
Dermatologic Applications of Photodynamic Therapy
Diagnosis & Management of Idiopathic Environmental Intolerance (i.e., Clinical Ecology)
Diagnosis & Medical Management of Obstructive Sleep Apnea Syndrome
Diagnosis & Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis
Diagnosis & Treatment of Non-Surgical Sacroiliac Joint Pain
Diagnosis of Vaginitis including Multi-target PCR Testing
Diagnostic Testing of Influenza
Diagnostic Testing of Iron Homeostasis & Metabolism
Diagnostic Testing of Most Common Sexually Transmitted Infections
Discarded Drugs/Biologicals - Pharmaceutical Waste
DNA Ploidy Cell Cycle Analysis
Donor Lymphocyte Infusion for Malignancies Treated With an Allogeneic Hematopoietic Cell Transplant
Drug
Coverage
Dry Needling & Trigger Point Injections for Myofascial Pain
Durable Medical Equipment (DME)
Dynamic Cardiomyo- plasty
Dynamic Posturography
Dynamic
Spinal Visualization
Electrical Bone Growth Stimulation of the Appendicular Skeleton
Electrical Impedance Scanning of the Breast
Electrical Stimulation for the Treatment of Arthritis
Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures
Electrocard-iographic Body Surface Mapping
Electrocorti-cography
Electroencep-halograms (EEG)
Electromagnetic Navigation Bronchoscopy
Electronic Brachytherapy for Nonmelanoma Skin Cancer
Electrophrenic Pacemaker
Electrostimulation & Electromag-netic Therapy for the Treatment of Chronic Wounds
Emapalumab-lzsg (Gamifant)
End Diastolic Pneumatic Compression Boot as a Treatment of Peripheral Vascular Disease or Lymphedema
Endobronchial Brachytherapy
Endometrial Ablation
Endoscopic Injection Sclerotherapy for Esophageal Varices
Endoscopic Laser for Gastrointes-tinal Bleeding
Endoscopic Laser for Tracheobron-chial Obstructions
Endoscopic Radiofrequency Ablation or Cryoablation for Barrett's Esophagus
Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis & Aneurysms)
Endovascular Stent Grafts for Abdominal Aortic Aneurysms
Endovascular Stent Grafts for Disorders of the Thoracic Aorta
Endovascular Therapies for Extracranial Vertebral Artery Disease
Enhanced External Counterpul-sation (EECP)
Enteral Carbidopa & Levodopa Intestinal Gel Suspension
Enteral Feeding In-Line Cartridge (EFIC™)/Immobilized Lipase Cartridge/Relizorb™
Epithelial Cell Cytology in Breast Cancer Risk Assessment & High-Risk Patient Management (Ductal Lavage
& Suction Collection Systems)
Erectile Dysfunction
Erythopoiesis Stimulating Agents & Darbepoetin Alfa (Aranesp)
Esophageal
pH Monitoring
Eteplirsen for Duchenne Muscular Dystrophy
Evaluation of Hearing Impairment
Extended-Release Injectable (Sublocade)
External Insulin Infusion Pump
Extracorpor-eal Immunoad-sorption Using Protein A Columns
Extracorpor-eal Membrane Oxygenation for Adult Conditions
Extracor-poreal Photopheresis
Extracor-poreal Shock Wave Therapy in the Treatment of Peyronie's Disease
Extracorporeal Shock Wave Treatment for Plantar Faciitis
& Other Musculoskeletal Conditions
Extracranial Carotid Angioplasty/Stenting
Eye Movement Desensitization & Reprocessing (EMDR) Therapy
Eyelid Thermal Pulsation for the Treatment of Dry Eye Syndrome
Facet Arthroplasty
Familial Adenomatous Polyposis & MUYTH-Associated Polyposis Testing
Fecal Analysis in the Diagnosis of Intestinal Dysbiosis
Fecal Microbiota Transplan-tation
Fetal Fibronectin Enzyme Immunoassay
Fetal Surgery for Prenatally Diagnosed Malformations
Flow Cytometry
Focal Treatments for Prostate Cancer
Folate Testing
Functional Neuromuscular Electrical Stimulation , Robotic-assisted Rehabilitation & Robotic-assisted Orthotics
Gait
Analysis
Gas Permeable Scleral Contact Lens
Gastric Electrical Stimulation
Gender Reassignment Surgery
Gene Expression Profiling & Protein Biomarkers for Prostate Cancer Management
Gene Expression Profiling for Uveal Melanoma
Gene Expression Testing for Breast Cancer Prognosis
Gene Expression‒Based Assays for Cancers of Unknown Primary
Gene Therapy for Inherited Retinal Dystrophy/Luxturna™
General Genetic Testing, Germline Disorders
General Genetic Testing, Somatic Disorders
General Inflammation Testing
Genetic Cancer Susceptibility Panels Using Next Generation Sequencing
Genetic Expression Profiling & Genetic Testing for Cutaneous Malignant Melanoma
Genetic Testing for Acute Myeloid Leukemia
Genetic Testing for Adolescent Idiopathic Scoliosis
Genetic Testing for Alpha- & Beta-Thalassemia
Genetic Testing for Alzheimer’s Disease
Geneic Testing for Duchenne, Becker, Facioscapulohu-meral, & Limb-Girdle Muscular Dystrophies
Genetic Testing for FMR1 mutations (including Fragile X Syndrome)
Genetic Testing of Germline Mutations of the RET Proto-Oncogene
Genetic Testing for Hereditary Pancreatitis
Genetic Testing for Heterozygous Familial Hypercholester-olemia
Genetic Testing for Inherited Cardiomy-opathies & Channel-opathies
Genetic Testing for Lactase Insufficiency
Genetic Testing for Li-Fraumeni Syndrome
Genetic Testing for Lipoprotein A Variant as a Decision Aid for Aspirin Treatment and/or CVD Risk Assessment
Genetic Testing for Macular Degeneration
Genetic Testing for Mental Health Conditions
Genetic Testing for Neurofibroma-tosis & Related Disorders
Genetic Testing for PTEN Hamartoma Tumor Syndrome
Genetic Testing for Rett Syndrome
Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies
Genicular Nerve Blocks & Ablation for Chronic Knee Pain
Golimumab (Simponi) for subcutaneous use
H-wave Electrical Stimulation
Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast-Conserving Surgery
Heart Transplant
Heart/Lung Transplant
Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
Hematopoietic Cell Transplantation for Breast Cancer
Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors & Ependymoma
Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia
Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer
Hematopoietic Cell Transplantation for Hodgkin Lymphoma
Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults
Hematopoietic Cell Transplantation for Primary Amyloidosis
Hematopoietic Cell Transplantation for Solid Tumors of Childhood
Hematopoietic Cell Transplantation for Waldenström Macroglobulinemia
Hematopoietic Cell Transplantation in the Treatment of Germ Cell Tumors
Hematopoietic Colony-Stimulating Factors (CSFs)
Hematopoietic Stem-Cell Transplantation for Non-Hodgkin Lymphomas
Hematopoietic Stem-Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma & POEMS Syndrome
Hematopoietic Stem Cell Transplantation for Acute Myeloid Leukemia
Hematopoietic Stem Cell Transplantation for Autoimmune Diseases
Hemoglobin A1c
Hepatitis C testing
Hereditary Angioedema Drug Therapy
High-Dose Rate Temporary Prostate Brachytherapy
Hip
Resurfacing
Hippotherapy
HIV Genotyping & Phenotyping
Home Cardiorespir-atory Monitoring
Home Health Services Policy
Home Phototherapy for Neonatal Jaundice
Home Prothrombin Time Monitoring
Home Spirometry
Home Uterine Activity Monitoring
Hospice Care
Hospital Medical Services (Inpatient & Observation) & Consultation
Human Antihemophilic Factor (AHF)
Human Growth Hormone
Human Papillomavirus (HPV) Vaccines
Hyperbaric Oxygen Therapy
Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal & Pelvic Malignancies
Hypnosis
Hypothermia to Prevent/Reduce Hair Loss During Chemotherapy
Identification of Microorganisms Using Nucleic Acid Probes
Ilizarov Bone-Lengthening Procedure
Image-Guided Minimally Invasive Lumbar Decompression (IG-MLD) for Spinal Stenosis
Imfinzi (durvalumab)
Immune Cell Function Assay
Immune Globulin Therapy
Immune Prophylaxis for Respiratory Syncytial Virus
Immunopharm-acologic Monitoring of Therapeutic Serum Antibodies
Implantable Bone Conduction and Bone Anchored Hearing Aids
Implantable Cardioverter Defibrillator (ICD)
Implantable Hormone Pellets for Females
Implantable Infusion Pump for Pain & Spasticity
Implantation of Intrastromal Corneal Ring Segments
In Vitro Chemoresis-tance & Chemosen-sitivity Assays
Incapacitated Dependent Coverage
InflammaDry Test
Inflectra™ (infliximab-dyyb)
Infliximab
Influenza Vaccine
Infrared Coagulation for Hemorrhoids
Ingestible pH & Pressure Capsule
Inhaled Nitric Oxide
Injectable Bulking Agents for the Treatment of Urinary & Fecal Incontinence
Injectable Clostridial Collagenase for Fibroproliferative Disorders
Inpatient Intestinal Rehabilitation Therapy
Inpatient Rehabilitation
Insulin Potentiation Therapy
Intensity-Modulated Radiation Therapy (IMRT): Abdomen & Pelvis
Intensity-Modulated Radiotherapy of the Breast & Lung
Intensity-Modulated Radiotherapy of the Prostate
Intensity-Modulated Radiotherapy: Cancer of the Head & Neck or Thyroid
Intensity-Modulated Radiotherapy: Central Nervous System Tumors
Interferential Current Stimulation
Interleukin 2 as a Treatment for HIV Infection
Interspinous & Interlaminar Stabilization/Distraction Devices (Spacers)
Interspinous Fixation (Fusion) Devices
Intracardiac Electrophysio-logic Studies
Intracardiac Ischemia Monitoring
Intracavitary Balloon Catheter Brain Brachytherapy for Malignant Gliomas or Metastasis to the Brain
Intracellular Micronutrient Analysis
Intradialytic Parenteral Nutrition
Intraocular Radiation Therapy for Age-Related Macular Degeneration
Intraoperative Neurophysiologic Monitoring
Intraoperative Radiotherapy
Intravascular Brachytherapy for Preventing and Managing Restenosis after Percutaneous Transluminal Angioplasty (PTA)
Intravenous Anesthetics for the Management of Chronic Neuropathic Pain
Intravenous Antibiotic Therapy for Lyme Disease
Intravenous or Subcutaneous Histamine Therapy
Intravitreal Angiogenesis Inhibitors for Choroidal Vascular Conditions
Intravitreal Angiogenesis Inhibitors for Retinal Vascular Conditions
Intravitreal Corticosteroid Implants
Iontophoresis & Phonophoresis
Ipilimumab (Yervoy)
Islet Cell Transplantation