Clinical review
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The documents below are available to detail the review process and procedures:
A
B
- Biofeedback
- Blepharoplasty
- Breast implant removal
- Breast Pump
- Benign Skin Lesion Treatment
- Breast Prosthesis, External
- Breast Reduction
C
- Circumcision Revision
- Continuous Glucose Monitors
- Compression Garment Pump
- Cervical Traction Device
- Cologuard
- Corneal Collagen
- Cranial Remodeling Bands and Helmets
- Capsule Endoscopy
- Cardiac Rehabilitation
D
E
F
- Feeding Rx
- Fertility Preservation for Iatrogenic Infertility
- Fetal Echo
- Functional Electrical Stimulation
G
H
- Hair Prostheses
- High Frequency Oscillator Device
- Hippotherapy
- Home UBV Phototherapy
- Home Care
- Home Oxygen Therapy
- Hyperbaric Oxygen
I
K
L
M
- Matrix-Induced Autologous Chondrocyte Implantation (MACI)
- Med Necessity for Pre Auth, Multiple Visit
- Med Necessity for Pre Auth, Single Visit
O
P
- Pectus Excavatum Sx
- Preimplantation Genetic Test
- Prosthodonthics
- Panniculectomy
- Pharmacogenetic Testing for BH disorders
- Prostheses, Upper Extremities
- PDL for Vascular Lesions
- Pluvicto
- Purewick
R
S
T
- Treatment of Temporomandibular Disorders (TMD) or Temporomandibular Joint Syndrome (TMJD)
- Transcutaneous Tibial Nerve Stimulator (TTNS)
V
W