Oxford Health Plans > Practical Resources > Medical & Administrative Policy Index

Medical & Administrative Policy Index

A complete library of our clinical, administrative and reimbursement policies is available below for your reference. The appearance of an item or procedure on the list indicates only that we have adopted a policy; it does not imply that we provide coverage for the item or procedure listed.

The services described in our policies are subject to the terms, conditions and limitations of the member's contract or certificate. Unless otherwise stated, our policies do not apply to Medicare Advantage enrollees. We reserve the right, in our sole discretion, to modify policies as necessary without prior written notice unless otherwise required by our administrative procedures or applicable state law. The terms "our" and "we" include Oxford Health Plans, LLC and all of its subsidiaries as appropriate for these policies.

Certain policies may not be applicable to self-funded members and certain insured products. Refer to the member's plan of benefits or Certificate of Coverage to determine whether coverage is provided or if there are any exclusions or benefit limitations applicable to any of these policies. If there is a difference between any policy and the member's plan of benefits or Certificate of Coverage, the plan of benefits or Certificate of Coverage will govern.
 
A B C D E F G H I J&K L M N O P Q R S T U V W,X,Y,Z

 

Policy Type Policy Title Effective Date
A
Clinical17-Alpha-Hydroxyprogesterone Caproate (Makena® and 17P) 09/01/2020
ClinicalAblative Treatment for Spinal Pain 09/01/2020
ClinicalAbnormal Uterine Bleeding and Uterine Fibroids 11/01/2020
AdministrativeAbortions (Therapeutic and Elective) 09/01/2020
AdministrativeAccreditation Requirements for Radiology Services 06/01/2020
AdministrativeAcquired Rare Disease Drug Therapy Exception Process 09/01/2020
ClinicalActemra® (Tocilizumab) Injection for Intravenous Infusion 10/01/2020
ReimbursementAcupuncture 10/01/2020
ClinicalAdakveo® (Crizanlizumab-Tmca) 10/01/2020
ReimbursementAdd-On Policy 08/01/2020
ReimbursementAdvanced Practice Health Care Provider 01/01/2020
ReimbursementAfter Hours and Weekend Care 05/01/2020
ClinicalAlpha1-Proteinase Inhibitors 09/01/2020
ReimbursementAmbulance 11/09/2020
AdministrativeAmbulance Services 09/01/2020
ClinicalApheresis 09/01/2020
ClinicalArticular Cartilage Defect Repairs 09/01/2020
AdministrativeAssignment of Benefits and Balance Billing 06/01/2020
ReimbursementAssistant-at-Surgery 10/01/2020
ClinicalAssisted Administration of Clotting Factors, Coagulant Blood Products & Other Hemostatics 11/01/2020
ClinicalAthletic Pubalgia Surgery 07/01/2020
ClinicalAttended Polysomnography for Evaluation of Sleep Disorders 09/01/2020
AdministrativeAutism 10/01/2020
ClinicalAutologous Cellular Therapy for Certain Indications 10/01/2020
B
ReimbursementB Bundle Codes 11/01/2020
ClinicalBalloon Sinus Ostial Dilation 09/01/2020
ClinicalBariatric Surgery09/01/2020
AdministrativeBehavioral Health Services 10/01/2020
ClinicalBenlysta® (Belimumab) 09/01/2020
ReimbursementBilateral Procedures 10/01/2020
ClinicalBlepharoplasty, Blepharoptosis and Brow Ptosis Repair 09/01/2020
ClinicalBone or Soft Tissue Healing and Fusion Enhancement Products 09/01/2020
ClinicalBotulinum Toxins A and B 09/01/2020
ClinicalBreast Imaging for Screening and Diagnosing Cancer 10/01/2020
ClinicalBreast Reconstruction Post Mastectomy 09/01/2020
ClinicalBreast Reduction Surgery 09/01/2020
ClinicalBreast Repair/Reconstruction Not Following Mastectomy 09/01/2020
ClinicalBrineura® (Cerliponase Alfa) 09/01/2020
ClinicalBronchial Thermoplasty 08/01/2020
ClinicalBuprenorphine (Probuphine® & Sublocade®) 11/01/2020
C
ClinicalCardiac Event Monitoring 09/01/2020
ClinicalCardiology Procedures Requiring Prior Authorization for eviCore healthcare Arrangement 09/01/2020
ClinicalCardiovascular Disease Risk Tests 03/01/2020
ReimbursementCare Plan Oversight 06/01/2020
ClinicalCarrier Testing for Genetic Diseases 09/01/2020
ClinicalCatheter Ablation for Atrial Fibrillation 10/01/2020
ClinicalCell-Free Fetal DNA Testing 09/01/2020
ClinicalChelation Therapy for Non-Overload Conditions 09/01/2020
ClinicalChemosensitivity and Chemoresistance Assays in Cancer 11/01/2020
ClinicalChromosome Microarray Testing (Non-Oncology Conditions) 10/01/2020
ClinicalCimzia® (Certolizumab Pegol) 11/01/2020
AdministrativeClaims Recovery 02/01/2019
AdministrativeClinical Review 01/01/2019
ClinicalClinical Trials 09/01/2020
ClinicalClotting Factors, Coagulant Blood Products & Other Hemostatics 11/01/2020
ClinicalCochlear Implants 09/01/2020
ClinicalCollagen Crosslinks and Biochemical Markers of Bone Turnover 05/01/2020
ClinicalComplement Inhibitors (Soliris® & Ultomiris™) 11/01/2020
ClinicalComputer-Assisted Surgical Navigation for Musculoskeletal Procedures 11/01/2020
ClinicalComputerized Dynamic Posturography 05/01/2020
ReimbursementConsultation Services 11/01/2020
ClinicalContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes 09/01/2020
AdministrativeContraceptives 09/01/2020
AdministrativeCoordination of Benefits 02/01/2019
ClinicalCore Decompression for Avascular Necrosis 09/01/2020
ClinicalCorneal Hysteresis and Intraocular Pressure Measurement 07/01/2020
ClinicalCosmetic and Reconstructive Procedures 09/01/2020
ReimbursementCo-Surgeon/Team Surgeon 11/01/2020
AdministrativeCredentialing Guidelines: Participation in the eviCore healthcare Network 02/01/2020
ClinicalCrysvita® (Burosumab-Twza) 10/01/2020
ClinicalCytological Examination of Breast Fluids for Cancer Screening or Diagnosis 08/01/2020
D
ClinicalDeep Brain and Cortical Stimulation 09/01/2020
ClinicalDenosumab (Prolia® & Xgeva®) 10/01/2020
AdministrativeDental and Oral Surgical Procedures 09/01/2020
AdministrativeDiabetes Supply Coverage 10/01/2020
AdministrativeDialysis Services 09/01/2020
AdministrativeDisclosure Policy 09/01/2020
ClinicalDiscogenic Pain Treatment 10/01/2019
ReimbursementDiscontinued Procedure 07/01/2020
ClinicalDrug Coverage Criteria - New and Therapeutic Equivalent Medications 11/01/2020
ClinicalDrug Coverage Guidelines 11/01/2020
ReimbursementDrug Testing 07/01/2020
AdministrativeDurable Medical Equipment, Orthotics, Ostomy Supplies, Medical Supplies and Repairs/Replacements 10/01/2020
ReimbursementDurable Medical Equipment, Orthotics and Prosthetics 09/01/2020
E
ClinicalElbow Replacement Surgery (Arthroplasty) 09/01/2020
ClinicalElectric Tumor Treatment Field Therapy 09/01/2020
ClinicalElectrical and Ultrasound Bone Growth Stimulators 09/01/2020
ClinicalElectrical Bioimpedance for Cardiac Output Measurement 11/01/2020
ClinicalElectrical Stimulation and Electromagnetic Therapy for Wounds 09/01/2020
ClinicalElectrical Stimulation for the Treatment of Pain and Muscle Rehabilitation 09/01/2020
ClinicalElectroencephalographic (EEG) Monitoring and Video Recording 09/01/2020
ClinicalEloctate™ (Antihemophilic Factor (Recombinant), FC Fusion Protein) for Connecticut Lines of Business 11/01/2020
ClinicalEmbolization of the Ovarian and Iliac Veins for Pelvic Congestion Syndrome 05/01/2020
AdministrativeEmergency Room Visits (Including Coverage for Members Outside of the United States) 09/01/2020
ClinicalEntyvio® (Vedolizumab) 09/01/2020
ClinicalEnzyme Replacement Therapy 11/01/2020
ClinicalEpidural Steroid and Facet Injections for Spinal Pain 10/01/2020
ClinicalEpiduroscopy, Epidural Lysis of Adhesions and Discography 01/01/2020
ClinicalErythropoiesis-Stimulating Agents 11/01/2020
ReimbursementEvaluation and Management (E/M) 09/01/2020
ClinicalEvenity® (Romosozumab-Aqqg) 10/01/2020
ClinicalExondys 51® (Eteplirsen) 09/01/2020
AdministrativeExperimental/Investigational Treatment 09/01/2020
AdministrativeExperimental/Investigational Treatment for NJ Plans 09/01/2020
AdministrativeExtended Benefits for Total Disability & Succeeding Carrier for Inpatient Admissions 12/01/2019
ClinicalExtracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions and Soft Tissue Wounds 08/01/2020
F
ClinicalFecal Calprotectin Testing 09/01/2020
ClinicalFemoroacetabular Impingement Syndrome Treatment 09/01/2020
AdministrativeFiling Deadlines for Claims Submissions 12/01/2019
ClinicalFollicle Stimulating Hormone (FSH) Gonadotropins 09/01/2020
AdministrativeFollow-Up Care Rendered in an Emergency Room Site of Service 10/01/2020
AdministrativeFormula and Specialized Food 09/01/2020
ReimbursementFrom - To Date Policy 11/09/2020
ClinicalFunctional Endoscopic Sinus Surgery (FESS) 09/01/2020
G
ClinicalGamifant™ (Emapalumab-Lzsg) 09/01/2020
ClinicalGastrointestinal Motility Disorders, Diagnosis and Treatment 09/01/2020
ClinicalGastrointestinal Pathogen Nucleic Acid Detection Panel Testing for Infectious Diarrhea 09/01/2020
ClinicalGender Dysphoria Treatment 11/01/2020
ClinicalGenetic Testing for Cardiac Disease 09/01/2020
ClinicalGenetic Testing for Hereditary Cancer 09/01/2020
ClinicalGenetic Testing for Neuromuscular Disorders 09/01/2020
ClinicalGenitourinary Pathogen Nucleic Acid Detection Panel Testing 10/01/2020
ClinicalGivlaari™ (Givosiran) 09/01/2020
ClinicalGlaucoma Surgical Treatments 09/01/2020
ReimbursementGlobal Days 08/01/2020
ClinicalGonadotropin Releasing Hormone Analogs 09/01/2020
ClinicalGynecomastia Treatment 09/01/2020
H
ClinicalHearing Aids and Devices Including Wearable, Bone-Anchored and Semi-Implantable 09/01/2020
ClinicalHereditary Angioedema (HAE), Treatment and Prophylaxis 10/01/2020
ClinicalHigh Frequency Chest Wall Compression Devices 09/01/2020
ClinicalHip Resurfacing and Replacement Surgery (Arthroplasty) 11/01/2020
ClinicalHome Health Care 09/01/2020
ClinicalHome Hemodialysis 09/01/2020
ClinicalHome Traction Therapy 06/01/2020
ClinicalHuman Menopausal Gonadotropins (hMG) 09/01/2020
ClinicalHysterectomy for Benign Conditions 09/01/2020
I
ClinicalIlaris® (Canakinumab) 11/01/2020
ClinicalIlumya™ (Tildrakizumab-Asmn) 09/01/2020
ClinicalImmune Globulin (IVIG and SCIG) 10/01/2020
ClinicalImmune Globulin - Site of Care 09/01/2020
ClinicalImplantable Beta-Emitting Microspheres for Treatment of Malignant Tumors 09/01/2020
ClinicalImplanted Electrical Stimulator for Spinal Cord 09/01/2020
ReimbursementIncreased Procedural Services 06/01/2020
ClinicalInfertility Diagnosis and Treatment 09/01/2020
ClinicalInfliximab (Avsola™, Inflectra®, Remicade®, & Renflexis®) 10/01/2020
ClinicalInhaled Nitric Oxide for Infants 09/01/2020
ClinicalInjectable Chemotherapy Drugs: Application of NCCN Clinical Practice Guidelines 10/01/2020
ReimbursementInjection and Infusion Services 07/01/2020
AdministrativeIn-Network Exceptions for Breast Reconstruction Surgery Following Mastectomy 09/01/2020
ReimbursementIn-Office Laboratory Testing and Procedures List 10/14/2020
AdministrativeInpatient Maternity Stay and Subsequent Home Nursing 12/01/2019
ClinicalIntraoperative Hyperthermic Intraperitoneal Chemotherapy (HIPEC) 09/01/2020
ReimbursementIntraoperative Neuromonitoring 11/01/2020
ClinicalIntrauterine Fetal Surgery 09/01/2020
ClinicalIntravenous Enzyme Replacement Therapy (ERT) for Gaucher Disease 09/01/2020
ClinicalIntravenous Iron Replacement Therapy (Feraheme®, Injectafer®, & Monoferric®) 10/01/2020
K
ClinicalKnee Replacement Surgery (Arthroplasty), Total and Partial 11/01/2020
ClinicalKrystexxa® (Pegloticase) 11/01/2020
L
ClinicalLaser Interstitial Thermal Therapy 07/01/2020
ClinicalLemtrada (Alemtuzumab) 09/01/2020
ClinicalLight and Laser Therapy 11/01/2020
ClinicalLithotripsy for Salivary Stones 11/01/2020
ClinicalLower Extremity Invasive Diagnostic and Endovascular Procedures 09/01/2020
ClinicalLuxturna™ (Voretigene Neparvovec-Rzyl) 09/01/2020
ClinicalLyme Disease 09/01/2020
M
ClinicalMacular Degeneration Treatment Procedures 09/01/2020
ClinicalMagnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Service 09/01/2020
ClinicalManipulation Under Anesthesia 09/01/2020
ClinicalManipulative Therapy 09/01/2020
ClinicalMaximum Dosage and Frequency10/01/2020
ReimbursementMaximum Frequency Per Day 11/09/2020
AdministrativeMechanical Circulatory Support Device (MCSD) 04/01/2020
ClinicalMechanical Stretching Devices 09/01/2020
AdministrativeMember Administrative Grievance and Appeal (Non UM) Process & Timeframes 12/01/2019
ClinicalMeniscus Implant and Allograft 09/01/2020
ReimbursementMicrosurgery 06/01/2020
ClinicalMifeprex® (Mifepristone) 09/01/2020
ClinicalMinimally Invasive Procedures for Gastroesophageal Reflux Disease (GERD) and Achalasia 10/01/2020
ReimbursementModifier Reference 06/01/2020
ReimbursementModifier SU 04/01/2020
ReimbursementMohs Micrographic Surgery 06/01/2020
ClinicalMolecular Oncology Testing for Cancer Diagnosis, Prognosis and Treatment Decisions 10/01/2020
ClinicalMotorized Spinal Traction 06/01/2020
ReimbursementMultiple Procedure Payment Reduction (MPPR) for Diagnostic Cardiovascular and Ophthalmology Procedures 02/01/2020
ReimbursementMultiple Procedure Payment Reduction (MPPR) for Diagnostic Imaging 06/01/2020
ReimbursementMultiple Procedures Payment Reduction (MPPR) for Medical and Surgical Services 07/01/2020
N
ClinicalNegative Pressure Wound Therapy 09/01/2020
ClinicalNerve Graft to Restore Erectile Function During Radical Prostatectomy 09/01/2019
ClinicalNeurophysiologic Testing and Monitoring 09/01/2020
ClinicalNeuropsychological Testing Under the Medical Benefit 09/01/2020
ReimbursementNew Patient Visit 06/01/2020
AdministrativeNewborns 03/01/2020
ReimbursementNonphysician Health Care Codes 04/01/2020
ReimbursementNonphysician Health Care Professionals Billing Evaluation and Management Codes 03/01/2020
O
ReimbursementObservation and Discharge 05/01/2020
ClinicalObservation Care 09/01/2020
ReimbursementObstetrical Policy 10/01/2020
ClinicalObstetrical Ultrasonography 09/01/2020
ClinicalObstructive Sleep Apnea Treatment 10/01/2020
ClinicalOccipital Neuralgia and Headache Treatment 09/01/2020
ClinicalOcrevus™ (Ocrelizumab) 10/01/2020
ClinicalOffice Based Procedures - Site of Service 09/01/2020
ClinicalOff-Label/Unproven Specialty Drug Treatment 09/01/2020
ClinicalOmnibus Codes 10/01/2020
ReimbursementOnce In a Lifetime Procedures 05/01/2020
ReimbursementOne or More Sessions 06/01/2020
ClinicalOnpattro®(Patisiran) 09/01/2020
ClinicalOrencia® (Abatacept) Injection for Intravenous Infusion 10/01/2020
ClinicalOrthognathic (Jaw) Surgery 09/01/2020
AdministrativeOrthopedic Services 09/01/2020
ClinicalOtoacoustic Emissions Testing 09/01/2020
ClinicalOutpatient Physical and Occupational Therapy 10/01/2020
ClinicalOutpatient Surgical Procedures - Site of Service 09/01/2020
ClinicalOxford's Outpatient Imaging Self-Referral 11/01/2020
P
ClinicalPanniculectomy and Body Contouring Procedures 11/01/2020
ClinicalParsabiv® (Etelcalcetide) 09/01/2020
AdministrativeParticipating Gastroenterologists Using Non-Participating Anesthesiologists: In-Office and Ambulatory Surgery Centers Protocol 05/01/2020
AdministrativeParticipating Providers Using Non-Participating Laboratory and Pathology Providers Protocol 05/01/2020
AdministrativeParticipating Providers Using Non-Participating Providers Protocol 05/01/2020
AdministrativeParticipating Surgeons Using Non-Participating Assistant Surgeons and Co-Surgeons Protocol 05/01/2020
AdministrativeParticipating Surgeons Using Non-Participating Providers for Intraoperative Neuro-Monitoring (IONM) Protocol) 05/01/2020
ClinicalPectus Deformity Repair 09/01/2020
ReimbursementPediatric and Neonatal Critical and Intensive Care Services 07/01/2020
ClinicalPercutaneous Patent Foramen Ovale (PFO) Closure 09/01/2020
ClinicalPercutaneous Vertebroplasty and Kyphoplasty 11/01/2020
ClinicalPharmacogenetic Testing 10/01/2020
ReimbursementPhysical Medicine & Rehabilitation: Multiple Therapy Procedure Reduction 10/01/2020
ReimbursementPhysical Medicine & Rehabilitation: PT, OT and Evaluation & Management 10/01/2020
ReimbursementPhysical Medicine & Rehabilitation: Speech Therapy 10/01/2020
ClinicalPhysical, Occupational, and Speech Therapy including Cognitive/Neuropsychological Rehabilitation for New Jersey Small Group Members 10/01/2020
ReimbursementPhysician Extenders 12/01/2019
ClinicalPlagiocephaly and Craniosynostosis Treatment 10/01/2020
ClinicalPneumatic Compression Devices 09/01/2020
AdministrativePractitioner/Provider Administrative Claim Reconsideration and Appeal Process 01/01/2019
AdministrativePrior Authorization Exemptions for Outpatient Services 11/01/2020
ClinicalPreimplantation Genetic Testing 09/01/2020
ClinicalPreventive Care Services 10/01/2020
ReimbursementPreventive Medicine and Screening 11/09/2020
ClinicalPrivate Duty Nursing (PDN) Services 09/01/2020
ReimbursementProcedure and Place of Service07/01/2020
ReimbursementProlonged Services 07/01/2020
ClinicalProlotherapy and Platelet Rich Plasma Therapies 04/01/2020
ClinicalProsthetic Devices, Wigs, Specialized, Microprocessor or Myoelectric Limbs 09/01/2020
ClinicalProvider Administered Drugs – Site of Care 10/01/2020
R
ClinicalRadiation Therapy Procedures Requiring Prior Authorization for eviCore heathcare Arrangement 09/01/2020
ClinicalRadicava® (Edaravone) 09/01/2020
ClinicalRadiology Procedures Requiring Prior Authorization for eviCore heathcare Arrangement 10/01/2020
ClinicalRadiopharmaceuticals and Contrast Media 10/01/2020
ClinicalReblozyl® (Luspatercept-Aamt) 09/01/2020
ReimbursementReduced Services 06/01/2020
AdministrativeReferrals 04/01/2020
ReimbursementReimbursement for Comprehensive and Component CPT Codes 03/01/2020
ReimbursementReplacement Codes 06/01/2020
ClinicalRepository Corticotropin Injection (Acthar Gel®) 09/01/2020
AdministrativeRequests for In-Network Exceptions 09/01/2020
ClinicalRespiratory Interleukins (Cinqair®, Fasenra®, and Nucala®) 10/01/2020
ClinicalReview at Launch for New to Market Medications 11/01/2020
ClinicalRhinoplasty and Other Nasal Surgeries 09/01/2020
ClinicalRituximab (Rituxan®, Ruxience® & Truxima®) 11/01/2020
ReimbursementRobotic Assisted Surgery 01/01/2020
ClinicalRoutine Foot Care 09/01/2020
S
ReimbursementSame Day/Same Service 11/01/2020
ClinicalSandostatin LAR® Depot (Octreotide Acetate) 09/01/2020
ClinicalScenesse® (Afamelanotide) 10/01/2020
ClinicalSensory Integration Therapy and Auditory Integration Training 09/01/2019
ReimbursementServices and Modifiers Not Reimbursable to Healthcare Professionals 06/01/2020
AdministrativeServices Requiring Prior Authorization 11/01/2020
ClinicalShoulder Replacement Surgery (Arthroplasty) 11/01/2020
ClinicalSimponi® Aria (Golimumab) Injection for Intravenous Infusion 10/01/2020
ReimbursementSite of Service Differential 01/01/2020
AdministrativeSkilled Care and Custodial Care Services 09/01/2020
ClinicalSkin and Soft Tissue Substitutes 09/01/2020
ClinicalSodium Hyaluronate 10/01/2020
ReimbursementSpecialty Pharmacy for Certain Specialty Medications Administered in an Outpatient Hospital Setting 10/01/2020
AdministrativeSpeech Therapy and Early Intervention Programs/Birth to Three 09/01/2020
ClinicalSpinraza® (Nusinersen) 11/01/2020
ReimbursementSplit Surgical Package 08/01/2020
ClinicalSpravato™ (Esketamine) 09/01/2020
ReimbursementStandby Services 06/01/2020
ClinicalStelara® (Ustekinumab) 09/01/2020
ReimbursementSupply Policy 11/09/2020
ClinicalSurgical and Ablative Procedures for Venous Insufficiency and Varicose Veins 09/01/2020
ClinicalSurgical Treatment for Spine Pain 11/01/2020
ClinicalSynagis® (Palivizumab) 10/01/2020
T
ReimbursementT Status Codes 10/01/2020
ReimbursementTelehealth and Telemedicine 05/01/2020
ClinicalTemporomandibular Joint Disorders 09/01/2020
ClinicalTepezza® (Teprotumumab-Trbw) 10/01/2020
ClinicalThermography 05/01/2020
ReimbursementTime Span Codes 09/01/2020
AdministrativeTimeframe Standards for Benefit Administrative Initial Decisions 01/01/2020
AdministrativeTimeframe Standards for Utilization Management (UM) Initial Decisions 05/01/2020
ClinicalTotal Artificial Disc Replacement for the Spine 11/01/2020
ClinicalTotal Artificial Heart 11/01/2020
ClinicalTranscatheter Heart Valve Procedures 09/01/2020
ClinicalTranscranial Magnetic Stimulation 04/01/2020
ClinicalTranspupillary Thermotherapy 09/01/2020
ClinicalTrogarzo® (Ibalizumab-Uiyk) 09/01/2020
ClinicalTysabri® (Natalizumab) 10/01/2020
U
ClinicalUmbilical Cord Blood Harvesting and Storage for Future Use 07/01/2020
ClinicalUnicondylar Spacer Devices for Treatment of Pain or Disability 10/01/2020
ClinicalUplizna™ (Inebilizumab-Cdon) 10/01/2020
ReimbursementUrgent Care 06/01/2020
V
ClinicalVaccines 09/01/2020
ClinicalVagus and External Trigeminal Nerve Stimulation 09/01/2020
ClinicalVertebral Body Tethering for Scoliosis 03/01/2020
ClinicalViltepso™ (Viltolarsen) 10/01/2020
ClinicalVirtual Upper Gastrointestinal Endoscopy 09/01/2019
AdministrativeVision Services (Including Refractive Surgery) 11/01/2020
ClinicalVisual Information Processing Evaluation and Orthoptic and Vision Therapy09/01/2020
ClinicalVyepti™ (Eptinezumab-Jjmr) 10/01/2020
ClinicalVyondys 53™ (Golodirsen) 09/01/2020
W,X,Y,Z
ClinicalWarming Therapy and Ultrasound Therapy for Wounds 10/01/2019
ClinicalWhite Blood Cell Colony Stimulating Factors 09/01/2020
ClinicalWhole Exome and Whole Genome Sequencing 10/01/2020
ReimbursementWrong Surgical or Other Invasive Procedures 11/01/2020
ClinicalXolair® (Omalizumab) 09/01/2020
ClinicalZolgensma® (Onasemnogene Abeparvovec-Xioi) 11/01/2020
ClinicalZulresso™ (Brexanolone) 10/01/2020

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