Policy # Policy Title Print View
MP-015 Sympathetic Therapy and Bioelectrical Nerve Block or Electroanalgesic Nerve Block for the Treatment of Pain
MP-019 COPES Scoliosis Treatment Recovery System
MP-028 Extracorporeal Photopheresis
MP-037 Monochromatic Infrared Energy System
MP-086 Treatment of Hyperhidrosis (Excluding Botox)
MP-100 Plasma Exchange (Plasmapheresis)
MP-103 Lipid Apheresis
MP-105 Adoptive Immunotherapy
MP-139 Sensory Stimulation for Coma Patients
MP-154 Manipulation under Anesthesia for Treatment of Chronic Spinal or Pelvic Pain
MP-188 Constraint Induced Movement or Language Therapy
MP-240 Spinal Manipulation of Non-Neuromusculoskeletal Conditions
MP-270 Low-Level Laser and High-Power Laser Therapies
MP-317 Oxygen Therapy
MP-333 Sensory Integration Therapy and Auditory Integration Therapy
MP-334 Visual Perceptual Training
MP-387 Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas
MP-388 Hematopoietic Cell Transplantation for Acute Myeloid Leukemia
MP-427 Hippotherapy
MP-440 Inhaled Nitric Oxide
MP-484 Vertebral Axial Decompression
MP-600 Cognitive/Neurobehavioral/Neurorestorative Rehabilitation