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CG-MED-65 Manipulation Under Anesthesia - Anthem

    https://www.anthem.com/dam/medpolicies/abc/active/guidelines/gl_pw_d056803.html
    22505. Manipulation of the spine requiring anesthesia, any region . ICD-10 Diagnosis . S12.000A-S12.691S. ... Clinical guidelines approved by the Medical Policy & Technology Assessment Committee are available for general adoption by plans or lines …

Manipulation Under General Anesthesia - Medical …

    https://www.aetna.com/cpb/medical/data/200_299/0204.html
    22505: Manipulation of spine requiring anesthesia, any region : Other CPT codes related to the CPB: ... Bulletins are developed by Aetna to assist in administering plan benefits and …

Subject: Manipulation Under Anesthesia - Florida Blue

    http://mcgs.bcbsfl.com/MCG?mcgId=02-20000-34&pv=false
    22505 Manipulation of the spine requiring anesthesia, any region ... This Medical Coverage Guideline (MCG) was approved by the Florida Blue Medical Policy and Coverage …

POMS: DI 22505.001 - Medical and Nonmedical …

    https://secure.ssa.gov/apps10/poms.NSF/LNX/0422505001
    For information on who is an acceptable medical source, see DI 22505.003A. 5. Nonmedical source. A nonmedical source is any source of evidence who …

DI 22505.003 Evidence from an Acceptable Medical …

    https://secure.ssa.gov/poms.nsf/lnx/0422505003
    1. Confirming evidence is from an AMS. Consider medical evidence to be from an AMS, as described in DI 22505.003A in this section, if it shows the AMS’s: •. role …

Manipulation Under Anesthesia - Paramount Health …

    https://www.paramounthealthcare.com/assets/documents/MedicalPolicy/PG0422_Manipulation_Under_Anesthesia.pdf
    22505 Manipulation of spine requiring anesthesia, any region 23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation ...

Manipulation Under Anesthesia - UHCprovider.com

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/manipulation-under-anesthesia.pdf
    Listing of a code in this policy does not imply that the service described by the code is a covered or non-covered health service. Benefit coverage for health services is …

Medical policy | Providers | Independence Blue Cross (IBX)

    https://www.ibx.com/resources/for-providers/policies-and-guidelines/operations-management/medical-policy
    The Medical Policy Portal offers streamlined navigation to the various types of policies available. Once you accept the terms and conditions below, you’ll be connected to the …

Utilization Management Policy

    https://www.myoptumhealthphysicalhealth.com/ClinicalPolicies/393.pdf
    This policy serves as the criterion for peer-reviewer decisions concerning spinal manipulation under anesthesia. The policy document summarizes the position of Optum …

Medical Policy Reference Manual | CareFirst BlueCross …

    https://www.provider.carefirst.com/providers/medical/medical-policy.page
    The online Medical Policy Reference Manual contains approved medical policies and operating procedures for all products offered by CareFirst. Medical policies, which are …



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