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

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