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Medical Policies

WVFH bulletins and policies are designed to provide direction and information to you.

Medical Policies
Automated Ambulatory Blood Pressure Monitoring (pdf)
Bariatric Surgery Policy (pdf)
Breast Reconstruction (pdf)
Bronchial Thermoplasty (pdf)
BCR-AB1 (pdf)
BRCA1 and BRCA2 Genetic Mutation Testing and Related Genetic Counseling (pdf)
BRAF Mutation Analysis (pdf)
Capsule Endoscopy (pdf)
Cardiac Rehabilitation, Phase II Outpatient (pdf)
Carpal Tunnel (pdf)
Chromosomal Microarray Analysis:
Comparative Genomic Hybridization (CGH) and Single Nucleotide Polymorphism (SNP) (pdf)
Cochlear Implants (pdf)
Colorectal Cancer Screening (pdf)
Continuous Glucose Monitoring (pdf)
Custom Made Oral Appliances (pdf)
Electrical Bone Growth Stimulators for spinal indications (pdf)
Enteral Feeding In-line Cartridge (pdf)
Fecal Transplant (pdf)
Fetal Aneuploidy Testing Using Noninvasive Cell-Free Fetal DNA (pdf)
Genetic Testing for Colorectal Cancer Susceptibility (pdf)
Genetic Testing for Cystic Fibrosis Policy (pdf)
Genetic Testing for Warfarin Therapy (pdf)
Genetic Testing Panel (pdf)
Home Oxygen Therapy (pdf)
Hyperbariac Oxygen Therapy Policy (pdf)
Implantable Cardioverter Defibrillator (ICD) (pdf)
Macular Degeneration (pdf)
Molecular Markers for Fine Needle Aspirates of Thyroid Nodules (pdf)
Molecular Markers for Lung Cancer (pdf)
Negative Pressure Wound Therapy in the Outpatient Setting (pdf)
Noninvasive Assessment of Liver Fibrosis in Chronic Hepatitis C (pdf)
Noninvasive Positive Pressure Ventilation Policy (pdf)
Oncotype DX Assay Policy (pdf)
Panniculectomy (pdf)
Passive Oscillatory Devices in the Outpatient Setting (pdf)
Pulmonary Rehabilitation (pdf)
Skin Replacement (pdf)
Testing for Genetic Disease (pdf)
Upper Gastrointestinal Endoscopy [EGD-esophagogastroduodenoscopy] (pdf)
Urine Drug Screen Testing in Substance Use Disorder and Chronic Pain Management (pdf)
Wearable Cardioverter Defibrillators Policy (pdf)
Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders (pdf)

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