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Políticas Médicas
Las políticas médicas son documentos que definen el reconocimiento de cubierta para tecnologías, procedimientos y tratamientos. Las declaraciones de necesidad médica en las políticas, sobre si una tecnología, procedimiento, tratamiento, suplido, equipo, medicamento u otro servicio mejora el resultado en la salud de la población para la cual dicha tecnología o tratamiento fue diseñado se basan en evidencia científica, estudios clínicos y opiniones profesionales de nuestros proveedores y de las organizaciones médicas reconocidas.
Cada documento desplegado en este sitio Web se provee con propósitos informativos solamente y no es una autorización, explicación de beneficios o un contrato. El recibir beneficios está sujeto a la satisfacción de todos los términos y condiciones de la cubierta. La tecnología médica cambia constantemente y nos reservamos el derecho de revisar y actualizar nuestras políticas periódicamente.
| ID | Título | Última Revisión | Siguiente Revisión | Descripción | Acceso |
|---|---|---|---|---|---|
| 02.003.003 | Hematopoietic Cell Transplantation In The Treatment Of Germ Cell Tumors | Feb 19, 2025 | Feb 20, 2025 | Description- intro therapy for germ cell tumors is generally dictated by several factors, including disease... | Ver |
| 02.003.004 | Hematopoietic Cell Transplantation For Central Nervous System Embryonal Tumors And Ependymoma | Feb 18, 2025 | Feb 20, 2026 | High-dose chemotherapy with hematopoietic cell transplantation (hct) has been investigated as a possible... | Ver |
| 02.003.006 | Hematopoietic Cell Transplantation For Miscellaneous Solid Tumors In Adults | Feb 04, 2025 | Feb 20, 2026 | Hematopoietic cell transplantation (hct) is an established treatment for certain hematologic malignancies and... | Ver |
| 02.003.007 | Hematopoietic Cell Transplantation For Solid Tumors Childhood | Feb 13, 2025 | Feb 20, 2026 | Hematopoietic cell transplantation (hct) is a procedure in which hematopoietic stem cells are infused to... | Ver |
| 02.003.008 | Transcatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver Malignancies | Aug 22, 2024 | Aug 20, 2025 | Transcatheter arterial chemoembolization (tace) of the liver is a proposed alternative to conventional... | Ver |
| 02.003.014 | Allogeneic Hematopoietic Cell Transplantation For Myelodysplastic Syndromes And Myeloproliferative Neoplasms | Feb 18, 2025 | Feb 20, 2026 | Myelodysplastic syndromes (mds) and myeloproliferative neoplasms refer to a heterogeneous group of clonal... | Ver |
| 02.003.015 | RASTREO DEL TUMOR DURANTE LA RADIOTERAPIA | Oct 28, 2016 | Policy Archived | Esta política describe el uso de tiempo real, el rastreo de los objetivos dentro de la fracción durante la... | Ver |
| 02.003.016 | INFUSIÓN DE LEUCOCITOS ALOGENEICOS PARA MALIGNIDADES HEMATOLÓGICAS QUE RECURREN DESPUÉS DE UN TRASPLANTE DE CÉLULAS ALOGENEICAS | Nov 16, 2017 | Policy Archived | Donante de infusión de linfocitos (dli), también conocido como leucocitos de donantes o infusión capa... | Ver |
| 02.003.019 | Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies | Aug 19, 2024 | Aug 20, 2025 | Cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy (hipec) at the time of surgery may be... | Ver |
| 02.003.020 | AxIllary Reverse Mapping for Prevention of Breast Cancer-Related Lymphedema | Dec 09, 2024 | Dec 20, 2025 | Axillary reverse mapping/reverse lymphatic mapping performed during sentinel lymph node biopsy to prevent... | Ver |
| 02.003.021 | Tumor-Infiltrating Lymphocytes for Advanced Melanoma | Sep 20, 2024 | Sep 20, 2025 | Tumor-infiltrating lymphocyte (til) therapy with an indication approved by the u.s. food and drug... | Ver |
| 02.004.001 | Esophageal pH Monitoring | Dec 12, 2024 | Dec 20, 2025 | Esophageal ph monitoring using a catheter or wireless-based system may be considered medically... | Ver |
| 02.004.002 | Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders | Jan 07, 2025 | Jan 20, 2026 | The wireless capsule endoscopy (ce) uses a noninvasive device to visualize segments of the gastrointestinal... | Ver |
| 02.004.005 | Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease | Jan 07, 2025 | Jan 20, 2026 | Transesophageal endoscopic therapies are being developed for the treatment of gastroesophageal reflux disease... | Ver |
| 02.004.006 | Transanal Radiofrequency Treatment of Fecal Incontinence | Dec 09, 2021 | Policy Archived | Radiofrequency energy has been investigated as a minimally invasive treatment of fecal incontinence, in a... | Ver |
| 02.004.007 | ALISIS POR FIBRA OPTICA DE POLIPOS COLORECTALES | May 16, 2016 | Policy Archived | El análisis de pólipos colorectales por medio de fibra óptica no se considera para pago. el significado... | Ver |
| 02.004.048 | Nerve Fiber Density Measurement | Jan 20, 2025 | Jan 20, 2026 | Skin biopsy with epidermal nerve fiber density measurement for the diagnosis of small fiber neuropathy may be... | Ver |
| 02.004.049 | Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel Syndrome | Sep 10, 2024 | Jun 20, 2025 | Percutaneous electrical nerve field stimulation for abdominal pain in individuals with irritable bowel... | Ver |
| 02.005.001 | Pulmonary Function Test | Nov 04, 2022 | Policy Archived | The following specific tests for evaluating pulmonary diseases are considered for payment: pulmonary... | Ver |
| 02.005.002 | ASISTENCIA Y MANEJO DEL VENTILADOR MECANICO (VENTILATION ASSIST AND MAGEMENT) | Aug 22, 2017 | Policy Archived | Se consideran para pago estos servicios en el tratamiento de las siguientes enfermedades: síndrome guillain... | Ver |
