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Clinical policy bulletins
Clinical Policy Bulletins Numerical List
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1-50 51-100 101-150 151-200 201-250 251-300 301-350 351-400 401-450 451-500
501-550 551-600 601-650 651-700 701-750 751-800 801-850
1-50
- 0001 - Transrectal Ultrasound
- 0002 - Oxygen
- 0003 - Apnea Monitors for Infants
- 0004 - Obstructive Sleep Apnea in Adults
- 0005 - Septoplasty and Rhinoplasty
- 0007 - Erectile Dysfunction
- 0008 - Color-Flow Doppler Echocardiography in Adults
- 0009 - Orthopedic Casts, Braces and Splints
- 0010 - Continuous Passive Motion (CPM) Machines
- 0011 - Electrical Stimulation for Pain
- 0013 - Cochlear Implants and Auditory Brainstem Implants
- 0016 - Back Pain - Invasive Procedures
- 0017 - Breast Reduction Surgery and Gynecomastia Surgery
- 0019 - Holter Monitors
- 0020 - Injectable Medications
- 0021 - Cardiac Rehabilitation
- 0022 - Calcitriol and Paricalcitol Injections
- 0023 - Corneal Remodeling
- 0024 - Interleukin-2 (Aldesleukin, Proleukin, IL-2)
- 0025 - Automated Ambulatory Blood Pressure Monitoring
- 0027 - Implantable Vas Deferens Occlusion Devices
- 0028 - Temporomandibular Disorders
- 0029 - Thermography
- 0031 - Cosmetic Surgery
- 0032 - Pulmonary Rehabilitation
- 0034 - Aural Rehabilitation
- 0035 - Influenza Vaccine
- 0037 - Pneumococcal Vaccine
- 0038 - Allergy and Hypersensitivity
- 0039 - Weight Reduction Medications and Programs
- 0046 - Routine Foot Care
- 0047 - Prenatal Care Provided by Primary Care Physicians
- 0048 - Hepatitis A Vaccine
- 0049 - Nutritional Counseling
- 0050 - Varicose Veins
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51-100
- 0055 - Hematopoietic Colony-Stimulating Factors (CSFs)
- 0059 - Peak Flow Meters
- 0061 - Nutritional Support
- 0062 - Burn Garments
- 0065 - Nebulizers
- 0067 - Chest Physiotherapy and Airway Clearance Devices
- 0069 - Lymphedema
- 0070 - Diabetes Tests, Programs and Supplies
- 0071 - Positron Emission Tomography (PET)
- 0073 - Cardiac Event Monitors
- 0078 - Learning Disabilities, Dyslexia, and Vision
- 0079 - Benign Prostatic Hypertrophy (BPH) Treatments
- 0082 - Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans
- 0083 - Stereotactic Radiosurgery
- 0084 - Ptosis Surgery
- 0088 - Antepartum Fetal Surveillance
- 0091 - Endometrial Ablation
- 0093 - Open Air, Low Field Strength, and Standing MRI Units
- 0094 - Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV)
- 0095 - Orthognathic Surgery
- 0097 - External Breast Prosthesis
- 0100 - Cryoablation
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101-150
- 0105 - Magnetic Resonance Imaging (MRI) of the Breast
- 0106 - Fetal Echocardiograms
- 0107 - Chiropractic Services
- 0111 - Indocyanine Green Angiography
- 0112 - Surface Scanning and Macro Electromyography
- 0113 - Botulinum Toxin
- 0115 - Varicella and Herpes Zoster Vaccines
- 0116 - Frenectomy for Ankyloglossia
- 0124 - General Anesthesia and IV Sedation for Oral and Maxillofacial Surgery and Dental Services
- 0126 - Contact Lenses and Eyeglasses
- 0127 - Home Uterine Activity Monitoring
- 0130 - Computerized Corneal Topography
- 0131 - Clotting Factors
- 0132 - Biofeedback
- 0134 - Bone Mass Measurements
- 0135 - Acupuncture
- 0136 - Skilled Home Private Duty Nursing Care
- 0140 - Genetic Testing
- 0142 - Breast Implant Removal
- 0145 - Alpha 1-Antitrypsin Inhibitor Therapy
- 0147 - Reflex Sympathetic Dystrophy Diagnosis
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151-200
- 0151 - Hippotherapy
- 0153 - Thalamotomy
- 0155 - Ribavirin (Virazole)
- 0157 - Obesity Surgery
- 0158 - Neuropsychological and Psychological Testing
- 0160 - Lung Volume Reduction Surgery
- 0161 - Infusion Pumps
- 0163 - Transmyocardial and Endovascular Laser Revascularization
- 0165 - Cardiac Catheter Ablation Procedures
- 0166 - Fetal Fibronectin, Inflammatory Biomarkers, and Salivary Estriol Testing for Preterm Labor
- 0168 - Tumor Scintigraphy
- 0169 - Outpatient Medical Self-Care Programs
- 0170 - Growth Hormone (GH) and Growth Hormone Antagonists
- 0171 - MRI of the Extremities
- 0172 - Hyperbaric Oxygen Therapy (HBOT)
- 0173 - Prothrombin Time (INR) Home Testing Devices
- 0174 - Pool Therapy, Aquatic Therapy or Hydrotherapy
- 0175 - High-Frequency Pulsed Electromagnetic Stimulation
- 0177 - Helicobacter pylori Infection Testing
- 0179 - Viscosupplementation
- 0180 - Vertebral Axial Decompression Therapy
- 0181 - Evoked Potential Studies
- 0182 - Ventricular Remodeling Operation (Batista Procedure) / and Surgical Ventricular Restoration (Dor Procedure)
- 0184 - Pulmonary Hypertension Treatments and Selected Indications of Prostanoids
- 0185 - Breast Reconstructive Surgery
- 0188 - Total Body Photography and Dermoscopy
- 0189 - Genetic Counseling
- 0190 - Stem Cells for Bone Marrow Transplant
- 0191 - Vagus Nerve Stimulation
- 0194 - Dorsal Column Stimulation
- 0195 - Erythropoesis Stimulating Agents
- 0198 - Work Hardening Programs
- 0199 - Ultrasound for Pregnancy
- 0200 - Coumadin (Warfarin) To Heparin Conversion Before And After Elective Surgery
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201-250
- 0201 - Skilled Home Health Care Nursing Services
- 0202 - Magnetic Resonance Spectroscopy (MRS)
- 0204 - Manipulation Under Anesthesia
- 0205 - Phototherapy and Photochemotherapy (PUVA) for Skin Conditions
- 0206 - Parenteral Immunoglobulins
- 0207 - Prolotherapy
- 0208 - Deep Brain Stimulation
- 0210 - Phonophoresis
- 0211 - Abdominoplasty,Suction Lipectomy, and Ventral Hernia Repair
- 0212 - Skeletal Analysis Systems
- 0213 - Gastroesophageal Reflux Disease (GERD): Treatment Devices
- 0214 - Cognitive Rehabilitation
- 0215 - Lyme Disease and other Tick-Borne Diseases
- 0218 - Home Health Aides
- 0220 - Distraction Osteosynthesis
- 0221 - Quantitative EEG (Brain Mapping)
- 0223 - Urinary Incontinence Treatments
- 0225 - Maze Procedure
- 0226 - Hospitalization for the Initiation of Ketogenic Diet for the Treatment of Intractable Seizures
- 0227 - BRCA Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
- 0228 - Cardiac CT, Coronary CT Angiography and Calcium Scoring
- 0229 - Iontophoresis
- 0231 - Grenz Ray Therapy for Skin Disorders
- 0232 - Back Pain – Non Invasive Treatments
- 0234 - Chelation Therapy
- 0235 - Plantar Fasciitis Treatments
- 0236 - MRI and CT of the Spine
- 0237 - Chronic Pain Programs
- 0238 - Chronic Vertigo
- 0240 - Antineoplaston Therapy and Sodium Phenylbutyrate
- 0241 - Extracorporeal Photochemotherapy (Photopheresis)
- 0243 - Speech Therapy
- 0244 - Wound Care
- 0245 - Tumor Chemosensitivity Assays
- 0247 - Autologous Chondrocyte Implantation
- 0248 - Fiberoptic Endoscopic Evaluation of Swallowing (FEES)/Fiberoptic Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST)
- 0249 - Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy
- 0250 - Occupational Therapy Services
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251-300
- 0251 - Dermabrasion, Chemical Peels, and Acne Surgery
- 0253 - Vocal Cord Paralysis/Insufficiency Treatments
- 0255 - Inpatient Admission Prior to Surgery (Preop Days)
- 0256 - Sensory and Auditory Integration Therapy
- 0259 - Transjugular Intrahepatic Portosystemic Shunt (TIPSS)
- 0262 - External Counterpulsation (ECP)
- 0263 - Gait Analysis and Electrodynogram
- 0264 - Multiple Sclerosis
- 0265 - Surgical Treatments to Control Drooling (Sialorrhea)
- 0266 - Cholecystokinin Cholescintigraphy
- 0267 - Ornish Cardiac Treatment Program
- 0268 - Liver and Other Neoplasms - Treatment Approaches
- 0269 - Breast Biopsy Procedures
- 0270 - Proton Beam and Neutron Beam Radiotherapy
- 0271 - Wheelchairs and Power Operated Vehicles (Scooters)
- 0272 - Pectus Excavatum and Poland's Syndrome: Surgical Correction
- 0274 - Ablation of Hepatic Lesions
- 0276 - Angioplasty and Stenting of Extra-Cranial and Intra-Cranial Arteries
- 0278 - Hyperthermia in Cancer Therapy
- 0279 - Magnetic Source Imaging/Magnetoencephalography
- 0282 - Noninvasive Down Syndrome Screening
- 0284 - Melodic Intonation Therapy for Persistent Aphasia
- 0285 - Plasmapheresis/Plasma Exchange/Therapeutic Apheresis
- 0287 - Total Hip Implants
- 0288 - Stereotactic Cingulotomy
- 0289 - Grid Monitoring: Presurgical Evaluation for Patients with Intractable Seizures
- 0290 - Scalp Cooling (Hypothermia) to Prevent Hair Loss During Chemotherapy
- 0291 - Hemodialysis for Schizophrenia
- 0292 - Transcatheter Closure of Septal Defects
- 0293 - Corneal Graft with Amniotic Membrane Transplantation
- 0294 - Pedobarography
- 0295 - Peripheral Atherectomy
- 0297 - Cryoanalgesia and Therapeutic Cold
- 0298 - Non-invasive Negative Pressure Ventilation: Body Ventilators and Poncho Wrap
- 0299 - Tilt Table Testing
- 0300 - Hair Analysis
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301-350
- 0302 - Electrical Stimulation for Xerostomia
- 0304 - Fibroid Treatment
- 0305 - Videostroboscopy
- 0306 - Dexamethasone Suppression Test in Psychiatry
- 0307 - Parkinson's Disease
- 0310 - Thoracoscopic Sympathectomy
- 0313 - Trastuzumab (Herceptin) and Pertuzumab (Perjeta)
- 0314 - Rituximab (Rituxan)
- 0315 - Enbrel (Etanercept)
- 0316 - HIV Drug Susceptibility and Resistance Tests
- 0317 - Ultra Rapid Detoxification (UROD)
- 0318 - Synagis (Palivizumab) for Prevention of Respiratory Syncytial Virus (RSV) Infections
- 0319 - RET Proto-Oncogene Testing
- 0321 - Visual Perceptual Training/Vision Restoration Therapy
- 0322 - Electroencephalographic (EEG) Video Monitoring
- 0323 - Preconceptional Sex Selection Techniques
- 0325 - Physical Therapy Services
- 0327 - Infertility
- 0329 - Home Births
- 0330 - Multiple Sleep Latency Test (MSLT)
- 0332 - Neonatal Hyperbilirubinemia
- 0334 - Negative Pressure Wound Therapy
- 0336 - Acoustic Pharyngometers and SNAP™ Testing System
- 0337 - BreastAlert Differential Temperature Sensor
- 0339 - Pulse Oximeter for Home Use
- 0340 - Antibody Tests for Neurologic Diseases
- 0341 - Remicade (infliximab)
- 0342 - Intestinal Rehabilitation Programs
- 0343 - Bone Growth Stimulators
- 0344 - Optic Nerve and Retinal Imaging Methods
- 0345 - Implantable Hormone Pellets
- 0346 - Low-Molecular-Weight Heparins
- 0347 - Transcervical Balloon Tuboplasty
- 0348 - Recurrent Pregnancy Loss
- 0349 - Alzheimer's Disease Diagnosis
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351-400
- 0351 - Flow Cytometry, DNA Ploidy, and S-phase Fraction
- 0352 - Tumor Markers
- 0353 - Transcranial Doppler Ultrasonography
- 0354 - YAG Laser in Ophthalmology: Selected Indications
- 0355 - Extracorporeal Immunoadsorption (Prosorba column)
- 0356 - Meningococcal Vaccine
- 0357 - Quantitative Sensory Testing Methods
- 0358 - Invasive Prenatal Diagnosis of Genetic Diseases
- 0361 - Radiopharmaceuticals Metastron® (Strontium-89) and Samarium-153 (Quadramet) for Metastatic Bone Pain
- 0362 - Spasticity Management
- 0363 - Cold Laser and High-Power Laser Therapies
- 0364 - Allograft Transplants of the Extremities
- 0365 - Pancreaticoduodenectomy (Whipple Resection) for Zollinger-Ellison Syndrome
- 0366 - Paralytic Lagophthalmos: Treatments
- 0367 - Home Cholesterol Monitors
- 0368 - Obstetrical Hypertension Programs
- 0369 - Chronic Fatigue Syndrome
- 0370 - Phototherapy for Psychiatric Disorders
- 0371 - Brachytherapy
- 0372 - Noncontact Normothermic/Nonthermal Wound Therapy
- 0373 - Crit-Line In-Line Monitor
- 0374 - Trigeminal Neuralgia Surgery
- 0375 - Photodynamic Therapy
- 0376 - Single Photon Emission Computed Tomography (SPECT)
- 0377 - Dendritic Cell Immunotherapy
- 0378 - NeuroControl Freehand System
- 0379 - Cranial Remodeling
- 0380 - Lung Cancer Screening
- 0381 - Cardiac Disease Risk Tests
- 0382 - Intravascular Ultrasound
- 0383 - Mohs Micrographic Surgery
- 0384 - Magnetic Resonance Cholangiopancreatography
- 0386 - Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography
- 0387 - Magnetic Resonance Neurography
- 0388 - Complementary and Alternative Medicine
- 0389 - Hypertrophic Scars and Keloids
- 0390 - Smell and Taste Disorders - Diagnosis
- 0392 - Metabolic and Environmental Profiling and Imaging for Kidney Stone Risk
- 0393 - Vitrectomy
- 0394 - Epilepsy Surgery
- 0395 - Ethanol Injection for Thyroid Lesions
- 0396 - Gastrointestinal Function: Selected Tests
- 0397 - Knee Ligament Arthrometer Testing
- 0398 - Idiopathic Scoliosis
- 0399 - Myoelectric Upper Limb Prostheses
- 0400 - Ernest or Eagle’s Syndrome (Stylomandibular Ligament Pain): Treatment with Radiofrequency Thermoneurolysis
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401-450
- 0401 - Selective Peripheral Denervation (Bertrand Procedure) for Spasmodic Torticollis
- 0402 - Polio Vaccine
- 0403 - Bone-anchored Hearing Aid
- 0404 - Interferons
- 0405 - Mechanical Stretching Devices for Contracture and Joint Stiffness
- 0406 - Tinnitus Treatments
- 0407 - Selected Aortic Valve Procedures: Ross Pulmonary Autograft and Aortic Valve-Sparing Re-implantation
- 0409 - Macular / Foveal Translocation
- 0410 - Hepatitis B Vaccine
- 0411 - Bone and Tendon Graft Substitutes and Adjuncts
- 0412 - Therabite Jaw Motion Rehabilitation System
- 0413 - Varicocele: Selected Treatments
- 0414 - AcuTect Scintigraphic Imaging for Detection of Lower Limb Deep Vein Thrombosis
- 0415 - Optic Nerve Decompression Surgery
- 0416 - Nerve Grafting: Selected Indications
- 0417 - Amnioinfusion
- 0418 - Myringotomy and Tympanostomy Tube
- 0419 - Graves' Ophthalmopathy Treatments
- 0420 - Balloon Dacryocystoplasty / Dacryoplasty for Nasolacrimal Duct Obstruction
- 0421 - Breast Pumps
- 0422 - Vitiligo
- 0423 - Alopecia Areata
- 0425 - Ambulatory Electroencephalography
- 0426 - Attention Deficit/Hyperactivity Disorder
- 0427 - Carbon Dioxide Laser for Actinic Lesions of the Skin
- 0428 - Carbogen Inhalation Therapy
- 0429 - Bathroom and Toilet Equipment and Supplies
- 0430 - Pressure Reducing Support Surfaces
- 0431 - Nocturnal Enuresis Treatments
- 0432 - Computerized Motion Diagnostic Imaging
- 0433 - Chlamydia Trachomatis – Screening and Diagnosis
- 0434 - Therapeutic Chairs
- 0435 - Viscocanalostomy and Canaloplasty
- 0437 - Speech Generating Devices
- 0438 - Obsolete and Unreliable Tests and Procedures
- 0441 - Ovarian Vein Embolization for Pelvic Congestion Syndrome
- 0442 - Enzyme-replacement Therapy for Lysosomal Storage Disorders
- 0443 - Cervical Cancer Screening and Diagnosis
- 0444 - Early Intervention Programs
- 0445 - Electroconvulsive Therapy
- 0446 - Endoscopic Ultrasonography
- 0447 - Complex Regional Pain Syndrome (CRPS) / Reflex Sympathetic Dystrophy (RSD): Treatments
- 0449 - Fetal Surgery In Utero
- 0450 - Fluidized Therapy (Fluidotherapy)
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451-500
- 0451 - Foot Orthotics
- 0452 - Noninvasive Positive Pressure Ventilation
- 0453 - Cervical Traction Devices
- 0456 - Pillows and Cushions
- 0457 - Dry Eyes
- 0458 - Peripheral Vascular Rehabilitation Programs
- 0459 - Seat Lifts and Patient Lifts
- 0462 - Migraine and Cluster Headache: Nonsurgical Management
- 0464 - Serum Marker Screening for Down Syndrome
- 0465 - Mifepristone (RU 486)
- 0466 - Clinical Trials, Coverage of Routine Patient Care Costs
- 0467 - Vestibular Autorotation Test (VAT)
- 0468 - Terbutaline Pump for Preterm Labor
- 0469 - Transcranial Magnetic Stimulation and Cranial Electrical Stimulation
- 0471 - Tuberculosis Testing
- 0472 - Thoracic Electrical Bioimpedance for Cardiac Output Monitoring
- 0473 - Vaccines for Travel
- 0474 - Total Body Plethysmography
- 0475 - Coblation Non-thermal Volumetric Tissue Reduction
- 0476 - Influenza Rapid Diagnostic Tests
- 0477 - Balloon Valvuloplasty
- 0479 - Respiratory Devices: Incentive Spirometers and Intermittent Positive Pressure Breathing Machines
- 0480 - Tourette Syndrome
- 0481 - Tables and Boards
- 0482 - Compression Garments for the Legs
- 0483 - Anthrax Vaccine
- 0484 - Glaucoma Surgery
- 0485 - Autonomic Testing / Sudomotor Tests
- 0489 - Vision Therapy
- 0490 - Transpupillary Thermal Therapy
- 0491 - Coronary Artery Brachytherapy and Other Adjuncts to Coronary Interventions
- 0492 - Radiofrequency Tumor Ablation
- 0493 - Kidney Transplantation
- 0494 - High Dose Chemotherapy and Bone Marrow or Peripheral Stem Cell Transplant for Non-Hodgkin's Lymphoma
- 0495 - High Dose Chemotherapy Bone Marrow or Peripheral Stem Cell Transplant for Hodgkin's Disease
- 0496 - High Dose Chemotherapy and Bone Marrow or Peripheral Stem Cell Transplant for Selected Childhood Solid Tumors
- 0497 - High Dose Chemotherapy Bone Marrow or Peripheral Stem Cell Transplant for Multiple Myeloma
- 0500 - Intermittent Pneumatic Compression Devices
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501-550
- 0501 - Gonadotropin-Releasing Hormone Analogs and Antagonists
- 0502 - Nerve Conduction Velocity Studies
- 0503 - Suction Pumps
- 0504 - Hyperhidrosis (Hyperhydrosis)
- 0505 - Ambulatory Assist Devices: Walkers, Canes, and Crutches
- 0507 - High-Dose Chemotherapy with Hematopoietic Stem Cell Support for Breast Cancer
- 0508 - Cataract Removal Surgery
- 0509 - Contact Dissolution for Gallstones
- 0510 - Progestins
- 0511 - Eating Disorders
- 0512 - Premenstrual Syndrome/Premenstrual Dysphoric Disorder
- 0514 - Meniere's Disease Surgery
- 0515 - Thyrogen (Thyrotropin Alfa)
- 0516 - Colorectal Cancer Screening
- 0517 - Breast Ductal Lavage and Fiberoptic Ductoscopy
- 0518 - Nitric Oxide, Inhalational (INO)
- 0520 - Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRI
- 0521 - Prostate Cancer Screening
- 0522 - Pulsed Irrigation Evacuation (PIE)
- 0523 - Car-Ride Simulators for Infantile Colic
- 0524 - Zoledronic Acid
- 0525 - Screening for Lipid Disorders
- 0526 - Surgical Dressings (Wound Care Supplies)
- 0527 - Intragastric Hypothermia
- 0528 - Androgens and Anabolic Steroids
- 0529 - Transabdominal Cerclage
- 0530 - Transvaginal Ultrasonography for Ovarian and Endometrial Cancer Screening and Other Selected Indications
- 0531 - Balloon-Expandable Venous Stents
- 0532 - Scrotal Ultrasonography
- 0533 - Urological Supplies
- 0534 - Vesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents
- 0535 - Virtual Gastrointestinal Endoscopy
- 0536 - Vitamin B-12 Therapy
- 0538 - Endothelial Cell Photography
- 0539 - Fundus Photography
- 0540 - Heating Devices
- 0541 - Home Dialysis
- 0542 - HIV Testing
- 0543 - Hospital Beds and Accessories
- 0544 - Immune Globulins for Post-exposure Prophylaxis
- 0545 - Electrothermal Arthroscopy
- 0546 - Extracorporeal Membrane Oxygenation (ECMO)
- 0547 - Rosacea
- 0548 - Cardiovascular Monitoring Equipment for Home Use: Pulse, Blood Pressure, Telemonitors, and Pacemaker Monitors
- 0549 - Distraction Osteogenesis for Craniofacial Defects
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- 0551 - Radiation Treatment of Keloids
- 0552 - Laser Neurolysis
- 0553 - Lead Testing
- 0556 - Bio-Surgery: Medicinal Leech Therapy and Medical Maggots
- 0557 - Melanoma Vaccine
- 0558 - Percutaneous Transluminal Septal Myocardial Ablation (PTSMA)
- 0559 - Pulsed Dye Laser Treatment
- 0560 - Voice Prosthesis for Voice Rehabilitation Following Total Laryngectomy
- 0561 - Celiac Disease Laboratory Testing
- 0562 - Biochemical Markers of Bone Remodeling
- 0563 - Retinopathy Telescreening Systems
- 0564 - Electrocochleogram and Perilymphatic Pressure Measurement
- 0565 - Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs)
- 0566 - Strabismus Repair in Adults
- 0567 - Actinic Keratoses Treatment
- 0568 - AngioJet Rheolytic Thrombectomy System
- 0569 - Lumbar Traction Devices
- 0570 - Chemotherapy Inpatient
- 0571 - Dehydration Testing for Endolymphatic Hydrops (Meniere's Disease)
- 0572 - Home/Ambulatory Spirometry
- 0574 - Female Sexual Dysfunction (FSD)
- 0575 - Intravenous Iron Therapy
- 0576 - Laminoplasty
- 0577 - Laser Treatment for Psoriasis and Other Selected Skin Conditions
- 0578 - Lower Limb Prostheses
- 0579 - T-Wave Alternans
- 0580 - Low Vision Programs
- 0581 - Lung Imaging Fluorescence Endoscopy (LIFE)
- 0582 - Titanium Rib
- 0583 - Eye Movement Desensitization and Reprocessing (EMDR) Therapy
- 0584 - Mammography
- 0585 - Cardioverter-Defibrillators
- 0586 - Heart Transplantation
- 0587 - Pancreas Kidney Transplantation
- 0588 - Capsule Endoscopy
- 0590 - Intensity Modulated Radiation Therapy
- 0591 - Intervertebral Disc Prostheses
- 0592 - Radiofrequency Ablation of Hypertrophied Nasal Turbinates
- 0593 - Aerosolized or Irrigated Anti-infectives for Sinusitis
- 0594 - Visudyne (Verteporfin) Photodynamic Therapy
- 0595 - Kineret (Anakinra)
- 0596 - Liver Transplantation
- 0597 - Heart-Lung Transplant
- 0598 - Lung Transplantation
- 0599 - Autologous Skeletal Myoblast/Mononuclear Bone Marrow Cell Transplantation for Cardiac Diseases
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- 0601 - Pancreas Transplantation Alone and Islet Cell Transplantation
- 0602 - Thermal Intradiscal Procedures
- 0603 - Total-Body CT Screening
- 0604 - Infrared Therapy
- 0605 - Intestinal Transplantation
- 0606 - Stem Cell Transplant for Autoimmune Diseases and Miscellaneous Indications
- 0607 - Anesthetic Infusion Pumps
- 0608 - Salivary Hormone Tests
- 0609 - Laser Photocoagulation of Drusen
- 0610 - Biventricular Pacing (Cardiac Resynchronization Therapy)/Combination Resynchronization-Defibrillation Devices for Congestive Heart Failure
- 0611 - Fecal Incontinence Treatments
- 0612 - Implantable Hearing Aids
- 0613 - Stereolithography
- 0614 - Huntington's Disease
- 0615 - Gender Reassignment Surgery
- 0616 - Antroduodenal Manometry
- 0617 - High Dose Chemotherapy Bone Marrow or Peripheral Stem Cell Transplant for Testicular Cancer
- 0618 - Brain Natriuretic Peptide Testing
- 0619 - Eye Prosthesis
- 0620 - Facial Prostheses, External
- 0621 - Drug-Eluting Stents
- 0622 - Glaucoma Testing
- 0623 - Safety Items
- 0625 - Dysphagia Therapy
- 0626 - Allogeneic Bone Marrow or Peripheral Stem Cell Transplant for Thalassemia Major and Sickle Cell Anemia
- 0627 - Allogeneic Bone Marrow or Peripheral Stem Cell Transplant for Aplastic Anemia and Other Bone Marrow Failure Syndromes
- 0628 - Spinal Ultrasound
- 0629 - Bunionectomy
- 0630 - Vacuum Assisted Socket System (VASS)
- 0633 - Benign Skin Lesion Removal
- 0634 - Non-myeloablative Bone Marrow/Peripheral Stem Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant)
- 0635 - High Dose Chemotherapy Bone Marrow or Peripheral Stem Cell Transplant for Ovarian Cancer
- 0636 - Hammer Toe Repair
- 0637 - Osteochondral Autografts (Mosaicplasty, OATS)
- 0638 - Donor Lymphocyte Infusion
- 0639 - Autotransfusers
- 0640 - Bone Marrow or Peripheral Stem Cell Transplant for Selected Leukemias
- 0641 - Adoptive Immunotherapy
- 0642 - Neuralgia Inducing Cavitational Osteonecrosis (NICO) and Ultrasonograph Bone Densitometer to Detect NICO
- 0643 - Diagnosis of Vaginitis
- 0644 - Smallpox Vaccine
- 0645 - Total Ankle Arthroplasty
- 0646 - Voice Therapy
- 0647 - Histamine Desensitization Therapy for Intractable Headaches
- 0648 - Pervasive Developmental Disorders
- 0649 - Extracorporeal Shock-Wave Therapy for Musculoskeletal Indications
- 0650 - Polymerase Chain Reaction Testing: Selected Indications
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651-700
- 0651 - Endovascular Repair of Aortic Aneurysms
- 0652 - Therapeutic Phlebotomy
- 0653 - Diphtheria, Tetanus, and Pertussis Vaccines
- 0654 - Ventricular Assist Devices
- 0655 - Adalimumab (Humira)
- 0656 - Phototherapy for Acne
- 0657 - Tubal Sterilization
- 0658 - Psoriasis: Biological Therapies
- 0659 - Radioimmunotherapy for Non-Hodgkin's Lymphoma: Ibritumomab Tiuxetan (Zevalin) and Tositumomab (Bexxar)
- 0660 - Unicompartmental, Bicompartmental, and Bi-unicompartmental Knee Arthroplasties
- 0661 - Hip and Shoulder Resurfacing
- 0662 - Antiprothrombin Antibody Testing
- 0663 - Cerebral Perfusion Studies
- 0664 - Signal-Averaged Electrocardiography (SAECG)
- 0665 - Constraint-Induced Therapy
- 0666 - Teriparatide (Forteo)
- 0667 - Esophageal pH Monitoring
- 0668 - Auditory Processing Disorder (APD)
- 0669 - Subtalar Implant for Foot Deformity
- 0670 - Xolair (Omalizumab)
- 0671 - Enfuvirtide (Fuzeon)
- 0672 - Pamidronate (Aredia)
- 0673 - Osteoarthritis of the Knee: Selected Treatments
- 0674 - High Dose Chemotherapy/Bone Marrow or Peripheral Stem Cell Transplantation for Chronic Myelogenous Leukemia
- 0675 - Bortezomib (Velcade)
- 0676 - Electrical Stimulation for Nausea, Vomiting and Motion Sickness (PrimaBella and ReliefBand)
- 0677 - Functional Electrical Stimulation and Neuromuscular Electrical Stimulation
- 0678 - Gastric Pacing / Gastric Electrical Stimulation
- 0679 - Levator Syndrome Treatments
- 0680 - Electrical Stimulation for Chronic Ulcers
- 0681 - Corneal Pachymetry
- 0682 - Microwave Thermotherapy for Breast Cancer
- 0683 - Oxaliplatin (Eloxatin)
- 0684 - Cetuximab (Erbitux)
- 0685 - Bevacizumab (Avastin)
- 0686 - Oral Brush Biopsy
- 0687 - Pemetrexed (Alimta)
- 0688 - Intra-oral Appliances for Headaches
- 0689 - Ocular Photoscreening
- 0690 - Noninvasive Tests for Hepatic Fibrosis
- 0691 - Breath Tests of Airway Inflammation: Exhaled Nitric Oxide and Exhaled Breath Condensate pH
- 0692 - Acoustic Heart Sound Recording and Computer Analysis
- 0693 - Somatostatin Analogs
- 0694 - Paranasal Sinus Ultrasound for the Evaluation of Sinusitis
- 0695 - Broth Culture Testing for Interstitial Cystitis
- 0696 - Suit Therapy
- 0697 - Intra-operative Electromyographic Monitoring
- 0698 - Prostate Saturation Biopsy
- 0699 - Dry Hydrotherapy (Hydromassage, Aquamassage, Water Massage)
- 0700 - Rhinometry and Rhinomanometry
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701-750
- 0701 - Vascular Endothelial Growth Factor Inhibitors for Ocular Neovascularization
- 0702 - Abdominal Aortic Aneurysm Screening
- 0703 - Near-Infrared Spectroscopy and Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow
- 0704 - Indirect Measurement of Left Ventricular Filling Pressure (LVFP): The VeriCor System
- 0705 - Body Surface Potential Mapping
- 0706 - Anecortave Acetate (Retaane)
- 0707 - Headaches: Invasive Procedures
- 0708 - Metatarsal Phalangeal Joint Replacement
- 0709 - Nesiritide (Natrecor)
- 0710 - Actigraphy and Accelerometry
- 0711 - Insulin-Like Growth Factor-1 (IGF-1) Analogues: Mecasermin (Increlex) and Mecasermin Rinfabate (Iplex)
- 0712 - Ziconotide (Prialt)
- 0713 - Artificial Retina
- 0714 - Re-breathing of Inert Gas for Measurement of Cardiac Output
- 0715 - Pharmacogenetic Testing
- 0716 - Sialolithiasis (Salivary Stones)
- 0717 - Analysis of Volatile Organic Compounds to Detect Bacteriuria
- 0718 - Defecography
- 0719 - Retisert (Fluocinolone Acetonide Intra-vitreal Implant)
- 0720 - Abatacept (Orencia)
- 0721 - Intraoperative Radiation Therapy (IORT)
- 0722 - Selective Nerve Root Blocks
- 0723 - Rotavirus Vaccine
- 0724 - Antiemetic Injection Therapy
- 0725 - Post-Herpetic Neuralgia
- 0726 - Human Papillomavirus (HPV) Vaccines
- 0727 - Ibandronate Sodium (Boniva) Injection
- 0728 - Barrett’s Esophagus Surgery
- 0729 - Diabetic Neuropathy: Selected Treatments
- 0730 - Home Behavioral Healthcare Services
- 0731 - Convection-Enhanced Intraparenchymal Delivery of Drugs to the Brain
- 0732 - Guillain-Barre Syndrome Treatments
- 0733 - Discography
- 0734 - External Ocular Photography
- 0735 - Pulsed Radiofrequency
- 0736 - Femoro-Acetabular Surgery for Hip Impingement Syndrome
- 0737 - Double Balloon Enteroscopy
- 0738 - Upper Gastrointestinal Endoscopy
- 0739 - Functional Magnetic Resonance Imaging
- 0740 - Pralatrexate (Folotyn)
- 0741 - Peripheral Ultrafiltration for Acute Decompensated Heart Failure
- 0742 - Intermittent Intravenous Insulin Therapy
- 0743 - Spinal Surgery: Laminectomy and Fusion
- 0744 - Bronchial Thermoplasty
- 0745 - Bell's Palsy
- 0746 - Ultrasound Therapy for Wound Healing
- 0747 - Transanal Endoscopic Microsurgery for Rectal Cancer
- 0748 - Panitumumab (Vectibix)
- 0749 - Anterior Segment Optical Coherence Tomography
- 0750 - Athletic Pubalgia Surgery
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751-800
- 0751 - Natalizumab (Tysabri)
- 0752 - Obstructive Sleep Apnea in Children
- 0753 - Core Decompression for Avascular Necrosis
- 0754 - Laparoscopic Uterine Nerve Ablation (LUNA) and Presacral Neurectomy (PSN)
- 0755 - Motor Cortex Stimulation
- 0756 - Epiretinal Radiation Therapy
- 0757 - AmniSure ROM (Rupture of Membranes) Test
- 0758 - Tumor Chemoresistance Assays
- 0759 - Vulvodynia and Vulvar Vestibulitis Treatments
- 0760 - Oral Screening and Lesion Identification Systems
- 0761 - Certolizumab Pegol (Cimzia)
- 0762 - Repository Corticotropin Injection (H.P. Acthar Gel)
- 0763 - Homocysteine Testing
- 0764 - Alemtuzumab (Campath)
- 0765 - Age-Related Macular Degeneration: Treatments
- 0766 - High Intensity Focused Ultrasound
- 0767 - Extended Ophthalmoscopy
- 0768 - Romiplostim (Nplate)
- 0769 - Endometrial Cancer Screening and Diagnosis
- 0770 - Cryopyrin-Associated Periodic Syndromes: Treatments
- 0771 - Procalcitonin (PCT)
- 0772 - Axial Lumbar Interbody Fusion (AxiaLIF)
- 0773 - ImmuKnow (Transplantation Immune Cell Function Assay)
- 0774 - Nerve Fiber Density Measurement
- 0775 - RenalVysion
- 0776 - Electromagnetic Navigation-guided Bronchoscopy
- 0777 - Suprachoroidal Injection of Pharmacologic Agents
- 0778 - Robotic-assisted Rehabilitation of the Extremities
- 0779 - Plerixafor Injection (Mozobil)
- 0780 - ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP)
- 0781 - Interstitial Laser Therapy
- 0782 - Hereditary Angioedema
- 0783 - In Vivo Analysis of Colorectal Polyps and Crohn's Disease
- 0784 - Blood Product Injections for Selected Indications
- 0785 - Peripheral Artery Stents
- 0786 - Menaflex
- 0787 - Comparative Genomic Hybridization (CGH)
- 0788 - Alzheimer's Disease: Experimental Treatments
- 0789 - Acute Ischemic Stroke: Treatments
- 0790 - Golimumab (Simponi)
- 0791 - Cardiac Devices for Occlusion of the Left Atrial Appendage
- 0792 - Human Fibrinogen Concentrate (RiaSTAP)
- 0793 - Esophageal Doppler Monitoring
- 0794 - Ofatumumab (Arzerra)
- 0795 - Ozurdex (Dexamethasone Intravitreal Implant)
- 0796 - Near-Infrared (NIR) Spectroscopy
- 0797 - Evacuation of Meibomian Glands
- 0798 - Distal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP) Joint Implants
- 0799 - Tocilizumab (Actemra)
- 0800 - Dupuytren's Contracture: Treatments
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801-850
- 0801 - Intra-coronary Hyperoxemic Therapy
- 0802 - Prostate Cancer Vaccine
- 0803 - Calcitonin Injection
- 0804 - Denosumab (Prolia and Xgeva)
- 0805 - Pudendal Nerve Decompression
- 0806 - Cabazitaxel (Jevtana)
- 0807 - Eculizumab (Soliris)
- 0808 - High-Resolution Anoscopy
- 0809 - Pediatric Intensive Feeding Programs
- 0810 - Gout
- 0811 - Hematopoietic Stem Cell Transplant for Solid Tumors in Adults
- 0812 - Hypoxic Ischemic Encephalopathy
- 0813 - Computerized Wheeze Detectors
- 0814 - Remote Ischemic Conditioning
- 0815 - Ipilimumab (Yervoy)
- 0816 - Hand Transplantation
- 0817 - Propranolol for Infantile Hemangioma
- 0818 - Belimumab (Benlysta)
- 0819 - Face Transplantation
- 0820 - Carotid Sinus Stimulation for Hypertension
- 0821 - Transcatheter Pulmonary Valve Implantation
- 0822 - Internal Fixation of Rib Fracture
- 0823 - Brentuximab (Adcetris)
- 0824 - Home Hemoglobin Testing Devices
- 0825 - Cardiopulmonary Exercise Testing
- 0826 - Transcatheter Aortic Valve Implantation
- 0827 - Electric Tumor Treatment Fields
- 0828 - Irreversible Electroporation (NanoKnife)
- 0829 - Intra-vascular Optical Coherence Tomography
- 0830 - Stem Cell Transplantation for Primary Immunodeficiency Disorders
- 0831 - Eribulin Mesylate (Halaven)
- 0832 - Implantable Left Atrial Hemodynamic Monitor
- 0833 - Stem Cell Transplantation to Waldenstrom Macroglobulinemia
- 0834 - Paclitaxel, Albumin-Bound (Abraxane)
- 0835 - Hepatitis Screening
- 0836 - Stem Cell Transplant for Myelodysplastic Syndrome
- 0837 - Shoulder Arthroplasty
- 0838 - Stem Cell Transplantation for Myelofibrosis
- 0839 - Tofacitinib (Xeljanz)
- 0840 - Devices for Post-Operative Use Following Endoscopic Sinus Surgery
- 0842 - Ziv-Aflibercept (Zaltrap)
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