Medical Policies - Univera Providers


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Showing 276– 292 of 292 Results
Title Last Updated Category
Transpupillary Thermotherapy (TTT) Open a PDF 9.01.05 2019-09-19 Eyes (Ophthalmology)
Transurethral Microwave Thermotherapy (TUMT) of the Prostate (e.g., Prostatron, Targis, Urowave System, CoreTherm, Prolieve, TMx-2000) Open a PDF 7.01.28 2019-01-18 Urinary System (Genitourinary)
Treatment of Gambling Disorder and Other Repetitive Behaviors Open a PDF 3.01.19 2019-04-30 Behavioral Health (Psychology)
Treatment of Hirsutism/ Hypertrichosis (Hair Removal) (e.g., Electrolysis, Epilation) Open a PDF 2.01.38 2019-01-18 Cosmetic / Reconstructive Surgery
Treatment of Tinnitus: Habituation Therapy, Jastreboff Method, Masking, Retraining Therapy Open a PDF 8.01.07 2019-03-26 Ear, Nose & Throat (Otorhinolaryngology)
Tumor-Treatment Field Therapy for Glioblastoma: Electrical Field Therapy, NovoTTF-100™ PDF Open a PDF 6.01.45 2019-04-30 Cancer Treatment (Oncology)
Urinary Tumor Markers for Bladder Cancer: AccuDx, BTA Stat™, Fibrin/Fibrinogen Degradation Products (FDP), ImmunoCyt, Nuclear Matrix Protein (NMP-22), Urinary Bladder Cancer Antigen (UBC Rapid Test) Open a PDF 2.02.12 2019-08-22 Lab Tests (pathology)
Urine Drug Testing, immunoassay, presumptive testing, confirmatory testing Open a PDF 2.02.50 2019-02-06 Lab Tests (pathology)
Uterine Artery Occlusion in the Treatment of Uterine Fibroids: Uterine Artery/Fibroid Embolization (UAE/UFE), Uterine Artery Coagulation Open a PDF 4.01.04 2019-03-26 Women's Health (Obstetrics & Gynecology)
Vagus Nerve Stimulation Open a PDF 7.01.05 2019-08-22 Nervous Systems (Neurology)
Varicosities/Varicose Veins, Treatment Alternatives to Vein Stripping and Ligation (e.g., Ambulatory, Stab or Transilluminated Powered Phlebectomy, ClariVein®, Endoluminal Radiofrequency Ablation, Endovenous Embolization, Endovenous Laser Ablation, Mechanochemical Endovenous Ablation, MOCA, Sclerotherapy, Varithena™, VenaSeal™, VNUS) Open a PDF 7.01.47 2019-10-15 Cosmetic / Reconstructive Surgery
Ventricular Assist Devices (VAD, LVAD) Open a PDF 7.01.07 2019-09-19 Heart & Blood Vessels (Cardiovascular)
Vision/Eye Therapy: Optometric Phototherapy, Occlusion Therapy, Orthoptics, Pleoptics Open a PDF 9.01.04 2019-03-26 Eyes (Ophthalmology)
Vitrectomy Chair/ Face-Down Positioning System Open a PDF 1.01.52 2019-06-04 Durable Medical Equipment & Supplies
Wheelchairs and Power Operated Vehicles (POVs) (e.g., Scooters) Open a PDF 1.01.16 2019-08-12 Durable Medical Equipment & Supplies
Whole Exome and Whole Genome Sequencing for the Diagnosis of Genetic Disorders Open a PDF 2.02.46 2019-08-15 Genetic Disease (Inherited Disease)
Wireless Capsule Endoscopy/Imaging for Examination of the Gastrointestinal (GI) Tract: AGILE Patency Capsule, Given® Capsule Camera, PillCam SB, PillCam ESO Open a PDF 6.01.27 2019-08-15 Digestive System (Gastroenterology)
Showing 276– 292 of 292 Results

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