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Medical Necessity Criteria
ODS Commercial Plans
- Abdominoplasty
- Acupuncture
- Adjustment Disorders
- Amevive (alefecetp)
- Anodyne
- Bipolar Disorder
- Blepharoplasty and Brow Ptosis Repair
- Bone Growth Stimulators
- Botox
- Breast Implant Removal
- Breast Reconstruction
- Capsule Endoscopy
- Cardiac Defibrillators, External
- Cardiac Disease Screening Lipid Profile
- Chiropractic Services
- Clinical Trials
- Cochlear Implants and Auditory Brainstem Implants
- Computer Aided Detection
- Continuous Glucose Monitor
- Cranial Orthotics (Bands and Helmets)
- Cryoablation of Breast Fibroadenomas
- Dissociative Identity Disorder
- DME General Policy
- Eating Disorders
- EBCT
- Electrical Stimulators For Home Use
- Endoscopic Treatment of GERD
- Extracorporeal Shock Wave Therapy (ESWT)
- Genetic Testing
- Grenz Ray - Laser Therapy for Psoriasis
- Hepatitis A & B
- Herniated Disc Treatment
- Hospital Bed
- Hyperbaric Oxygen
- Hyperhidrosis
- IDET
- INR Home Monitoring
- Insulin Pumps
- Interferential Stim Devices
- Interspinous Process Decompression System (X-STOP)
- Intervertebral Disc Prosthesis
- Intraocular Lens
- Intrathecal Opioid Therapy
- Investigational Services and Supplies
- Iron Therapy, Intravenous
- IVIG
- Knee Cartilage Transplants
- Kyphoplasty Vertebroplasty
- Long-Term Psychotherapy
- Lumbar Fusion
- Mechanical Stretching Devices
- Nerve Conduction Studies
- Obesity, Surgical Management
- Obstructive Sleep Apnea Treatment
- Orencia
- Oxygen
- PTSD
- Psych Partial Hospital and Intensive Outpatient Programs
- Psych Testing Authorization Form
- Psych Testing
- Pulmonary Rehab
- RAST
- Reactive Attachment Disorder
- Reduction Mammoplasty
- Remicade (infliximab)
- Residential Psychiatric Treatment
- Rituximab (rituxan)
- RSV Prophylaxis
- Salivary Hormone Testing
- Septoplasty and Rhinoplasty
- Serum Antibodies for IBD
- Soliris (eculizumab)
- Spinal Cord Stimulators
- Stereotactic Radiosurgery
- Thermography
- TMJ
- Tysabri (natalizumab)
- Urinary Incontinence
- Vagus Nerve Stimulation (VNS)
- Varicose Veins
- Vertebral Axial Decompression
- Viscosupplementation for Osteoarthritis
- Wheelchairs POV
- Xolair (omalizumab)
- Zometa, Reclast (zoledronic acid)