Marshfield

ΨΥΧΗΣ ΙΑΤΡΕΙΟΝ

ACG-Marshfield Clinic Demonstration Project

72 Hour Continuous Glucose Monitoring (CGM) Systems In Office

Abdominoplasty & Panniculectomy

Abnormal Vascular Lesion Removal

Ambulance: Land & Air Transportation

Autologous Cultured Chondrocytes

Back Surgical Procedures: Cervical & Thoracic Spinal Levels Inpatient & Outpatient

Back Surgical Procedures: Lumbar Spinal Level

Inpatient & Outpatient

Back Surgical Procedure Vertebroplasty Inpatient & Outpatient

Blepharoplasty, Blepharoptosis Repair

Bone & Tendon Graft Substitutes

& Adjuncts

Bone Growth Stimulator for the 5th Metatarsal

Botulinum Toxin Injections

Breast Reconstruction Post Mastectomy

Breast Reduction Mammoplasty

Carpal Tunnel Repair Surgical Precerti-fication

Carpal Tunnel Syndrome-Median Neuropathy Specialty Consult

Cellular Therapies

Chelation Therapy

Chronic Hip Pain-Osteoarthritis Specialty Consult

Chronic Knee Pain-Osteoarthritis or Meniscal Degeneration Specialty Consult

Cluster & Migraine Headache: Nonsurgical Management

Cologuard DNA Stool Testing

Complementary & Alternative Medicine

Contact Lenses

& Other Eyewear

Core Decompression of AVN of the Femoral Head

Cosmetic Surgery/Treatments

Cryoablation

Electrical Stimulation & Electromagnetic Therapy for the Treatment of Wounds

Electro-convulsive Therapy

Electroenceph-alography EEG Procedures

Erectile Dysfunction Treatments

Experimental

or Investigational

Eye Movement Desensitization &

Reprocessing (EMDR)

Fecal Microbiota Transplantation FMT

Femoroace-tabular Surgery for Hip Impingement Syndrome

Gastric Pacing & Gastric Electrical Stimulation

Gender Reassignment Services & Surgical Procedures

Genetic

Testing

Home Care Coverage Criteria

Home Health Care- Medicare Advantage

Home

Infusion

Hospice

Health

Services

Hyperbaric Oxygen Therapy

Hyperthermic Intraperitoneal Chemotherapy

Hysterectomy Surgical Procedures

Implantable Cardioverter Defibrillator ICD Insertion Procedures

Implantable Hormone Pellet Replacement Therapy

Implantable Loop Recorder

Infuse Bone Graft Bmp-2 Procedure

Inpatient Admission Prior to Surgery

(Pre-op)

Intrastromal Corneal Ring Segments

Ivor Lewis Procedure

Knee Arthroscopy Surgery Precertification

Left Atrial Appendage (LAA) Closure to Reduce the Risk of Stroke

Lipectomy or Suction Assisted Lipectomy

Low Back Pain (LBP) Consultation with Orthopedic or Neurosurgical Specialist

Lung Volume Reduction Surgery

MAZE

Procedure

Medicare Advantage Chiropractor

Medicare Advantage Skilled Nursing Facility Coverage Criteria

Medtronic IN.PACT Admiral Paclitaxel-coated PTA Balloon

Mitraclip Procedure

Obesity Management, Surgical Approaches

Oral Appliances for the Treatment of Obstructive Sleep Apnea

Outpatient & Inpatient Chemotherapy Administration

Pancreas Transplant Alone (PTA) & Autologous Islet Cell Transplants

Peripheral Vascular

Stents

Physical, Occupational & Speech Therapy

Private Duty Nursing in the Home Setting

Radiesse

Radiofrequency Ablation Pulmonary Tumor Debulking

Refractive Eye Surgery

Septoplasty/Rhinoplasty

Skin Substitutes, Chemical Peels, Dermabrasions, & other Skin Procedures

Sleep

Studies

Spinal Cord Stimulation

Swing

Bed

Synagis Injections

Telehealth

TMJ Benefit Review

Tilt Table Testing

Total Ankle Replacement

Total Disc Arthroplasty

Total Hip Replacement Surgical Precertification

Total Knee Replacement Surgical Precertification

Transcatheter Aortic Valve Replacement (TAVR)

Treatment of Autism Spectrum Disorders

Treatment of Chronic Skin Conditions

Urinary Incontinence

Vagus Nerve Stimulation for Epilepsy & Depression

Varicose Vein Treatments

Wearable Hearing Aids