Historical Medical Policies and Clinical Utilization Management Guidelines
Historical Medical Policies
Medical Policies contained within this page are historical and not the most current versions. Current Medical Policy content may be accessed from the Medical Policies & Clinical UM Guidelines page . Implementation dates of the most current versions vary per state notification requirements.
- DME.00011 Electrical Stimulation as a Treatment for Pain and Other Conditions: Surface and Percutaneous Devices
- LAB.00026 Systems Pathology and Multimodal Artificial Intelligence Testing for Prostate Cancer
Historical Clinical UM Guidelines
Clinical UM Guidelines contained within this page are historical and not the most current versions. Current Clinical UM Guideline content may be accessed from the Medical Policies & Clinical UM Guidelines page . Implementation dates of the most current versions vary per state notification requirements.