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Content with Policies & Guidelines Therapy .
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Sympathetic Therapy and Bioelectrical Nerve Block or Electroanalgesic Nerve Block for...
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COPES Scoliosis Treatment Recovery System
Policy Number: MP-019
Latest Review Date:...
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Monochromatic Infrared Energy System
Policy Number: MP-037
Latest Review Date: August...
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Treatment of Hyperhidrosis (Excluding Botox)
Policy Number: MP-086
Refer to pharmacy policy, PH-0238 Botox® (onabotulinumtoxinA) under "Provider-Administered...
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Sensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State
Policy Number: MP-139
Latest Review Date: October 2024
Category: ...
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Manipulation under Anesthesia for Treatment of Chronic Spinal or Pelvic Pain
Policy...
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Constraint-Induced Movement or Language Therapy
Policy Number: MP-188
Latest Review Date: June 2024
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Spinal Manipulation of Non-Neuromusculoskeletal Conditions
Policy Number: MP-240
Latest Review Date: June 2024
Category: Musculoskeletal
POLICY
Spinal...
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Hippotherapy
Policy Number: MP-427
Latest Review Date: March 2025
Category: Therapy ...
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Inhaled Nitric Oxide
Policy Number: MP-440
Latest Review Date: May 2024
Category: Medicine
POLICY:
Inhaled nitric oxide may be considered medically necessary...
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Vertebral Axial Decompression
Policy Number: MP-484
Latest Review Date: April 2025
Category: Therapy
POLICY:
Vertebral axial decompression is considered...
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Cognitive Rehabilitation
Policy Number: MP-600
Latest Review Date: March 2024
...
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Dry Hydrotherapy for Chronic Pain Conditions
Policy Number: MP-749
Latest Review Date:...
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High Intensity Laser Therapy for Chronic Pain Conditions
Policy Number: MP-763
Latest...