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Vitrectomy - Medical Clinical Policy Bulletins | Aetna

    https://www.aetna.com/cpb/medical/data/300_399/0393.html
    The vitrectomy face-down positioning system (also known as a vitrectomy chair or a vitrectomy support system) is a device that may be appropriate in selected cases to assist the patient in maintaining a face down position. The rental of a vitrectomy face support …

BCBSNJ Medical Policy for - (D M E) Policy Number - 039

    https://services3.horizon-bcbsnj.com/hcm/MedPol2.nsf/MedicalPolicies/HNBE-8TWRWJ
    Vitrectomy Support System Face Down Support System Face Down Positioning Device References: 1. Preferred Practice Pattern: Idiopathic Macular Hole. Prepared by the …

Medical Policy | Blue Cross and Blue Shield of Illinois - BCBSIL

    https://www.bcbsil.com/provider/standards/standard-requirements/medical-policy
    These Medical Policies serve as guidelines for health care benefit coverage decisions, which may vary according to the different products and benefit plans offered by BCBSIL. …

NCD - Vitrectomy (80.11) - Centers for Medicare

    https://www.cms.gov/medicare-coverage-database/view/ncd.aspx?NCDId=18
    Vitrectomy may be considered reasonable and necessary for the following conditions: vitreous loss incident to cataract surgery, vitreous opacities due to …

Durable Medical Equipment (DME)

    https://www.2021-standard-and-basic-options.fepbrochures-bcbsa.com/5e3256a2-e58a-4e4c-8454-691528973b94_0adb7a8d-2193-4fdc-8b18-bc0a29cdece9.html?v=05031&ip=y7gvpszk6rjzbnqslazq
    Durable Medical Equipment (DME) 2021 Blue Cross and Blue Shield Service Benefit Plan - Standard and Basic Option. Section 5. Benefits. Section 5 (a). Medical Services and …

Medical Policy BSC7.08 Reconstructive Services

    https://www.blueshieldca.com/bsca/bsc/public/common/PortalComponents/provider/StreamDocumentServlet?fileName=PRV_Reconstruct_Svcs.pdf
    It is the intent of Blue Shield of California (BSC) to use definitions and make determinations consistent with the Reconstructive Surgery Act (AB 1621) which added …

Medical Policy | Home

    https://medicalpolicy.bluekc.com/
    This section contains Medical Policies approved by Blue Cross and Blue Shield of Kansas City (“BCBSKC”). Medical policy determines if, and under what circumstances, …

MEDICAL POLICY - ORAL SURGERY - BCBSM

    https://www.bcbsm.com/amslibs/content/dam/public/mpr/mprsearch/pdf/76968.pdf
    Medical Policy Joint Medical Policies are a source for BCBSM and BCN medical policy information only. These documents are not to be used to determine benefits or …

Medical policies and procedures | Blue Shield of CA …

    https://www.blueshieldca.com/bsca/bsc/wcm/connect/provider/provider_content_en/authorizations/policy_medical
    Use these alphabetical lists to find Blue Shield medical policies, and review requirements and criteria for new technologies, devices and procedures. Find medical policy for Blue …

Important Information – Policies and Practices - BCBSM

    https://www.bcbsm.com/index/common/important-information/policies-and-practices.html
    Privacy issues: To report a concern or if you think your protected health information has been compromised, please call 1-800-552-8278 or email [email protected]. Don't …



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