Policy Bulletins
The Policy Bulletins listed below represent our catalogue of medical and claim payment policies. If you are looking for a specific type of policy, choose a category from the menu on the right. You may also use the search function in the top menu to search for policies by word or phrase.
 
   

Policy #
Policy Bulletin Title
MA06.015c
AlloMap™ Molecular Expression Testing for Heart Transplant Rejection
MA06.001e
Apheresis Therapy
MA06.020a
Autologous Blood Services (Collection, Storage, Transfusion, and Perioperative Salvage)
MA06.022f
Biomarkers for Oncology
MA06.030
Circulating Tumor Cell (CTC) Assay
Show details for
MA06.032
Cobalamin (Vitamin B12), Folic Acid, and Homocysteine Testing
MA06.010b
Genetic Testing for Inherited Breast Cancer 1 (BRCA1) and Breast Cancer 2 (BRCA2) Mutations
MA06.012c
Genetic Testing for Inherited Susceptibility to Colon Cancer and Microsatellite Instability Testing (Familial Adenomatous Polyposis and Lynch Syndrome)
MA06.011a
Human Immunodeficiency Virus (HIV) Genotyping and Phenotyping
MA06.018a
Immune Cell Function Assay
MA06.002b
In Vitro Allergy Testing
MA06.021d
In Vitro Chemosensitivity and Chemoresistance Assays
MA06.004a
In Vivo Allergy Sensitivity Testing
MA06.007c
Loss-of-Heterozygosity-Based Topographic Genotyping with PathFinderTG®
MA06.006d
Lyme Disease: Diagnosis and Intravenous (IV) Antibiotic Treatment
MA06.019c
Measurement of Serum Antibodies to and Measurement of Serum Levels of Biologics
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MA06.017s
Molecular Diagnostics
MA06.023c
Nerve Fiber Density Testing
MA06.024b
Noninvasive Techniques for the Evaluation and Monitoring of Individuals with Chronic Liver Disease
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MA06.008b
Pharmacogenetic Testing to Determine Drug Sensitivity
MA06.014d
Pharmacogenetics and Metabolite Monitoring for Using Azathioprine (AZA)/6-Mercaptopurine (6-MP) Therapy
MA06.025m
Presumptive and Definitive Drug Testing in Substance Abuse and Pain Management Treatments
MA06.013e
Serodiagnosis of Inflammatory Bowel Disease (IBD) and the Prometheus® IBD sgi Diagnostic™ Test
MA06.029
Therapeutic Drug Monitoring for Antidepressants, Antipsychotics, and Antiepileptics
MA06.031c
Vitamin D Assay Testing









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