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Policies

Johns Hopkins HealthCare Policies are developed to assist in administering plan benefits and does not constitute medical advice. Please read our Medical Policy Introduction.

Please remember: Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.

Read our medical policies disclaimer.

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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

 

A

Acthar Gel
Acupuncture
Airway Clearance Devices
Apnea Monitor for Infants
Applied Behavioral Analysis
Autologous Chrondrocyte Implantation
Avastin (Bevacizumab)

B

Back Pain Invasive Procedures
Bariatric Surgery
Bevacizumab (Avastin)
Biofeedback
Biologic Response Modifiers Prior Authorization
Blepharoplasty
Bone Marrow and Stem Cell Transplantation
Botulinum Toxins A and B
BRCA 1 and BRCA 2
Breast Ductal Lavage
Bronchial Thermoplasty

C

Cardiac Rehabilitation
Chiropractic Services
Clinical Trials
Colorectal Cancer Screening                
Computed Tomography Angiography

D

Devices for Managing Diabetes
Digital Breast Tomosynthesis
Dynamic Splinting for the Treatment of Joint Stiffness and Contracture

E

Electrical Stimulation for Treatment of Bell's Palsy
Electroencephalographic Video Monitoring
Electron Beam Computed Tomography
Enuresis Alarms in Children
Evaluation and Treatment of Pediatric Feeding Disorders
Exhaled Nitric Oxide Measurement
Extracorpeal Shock Wave Therapy

F

Fecal DNA Pre-Gen Plus
Foot Orthotics
Fundus Photography for Diabetics

G

Gastroesophageal Reflux Disease (GERD) Devices
Gender Reassignment Procedures
Genetic Testing

H

Hepatitis C Interferons
High-Frequency Pulsed Electromagnetic Stimulation
Hyperbaric Oxygen Therapy

I

Implantable Infusion Pumps
Implanted Devices for Hearing Loss
Interferential Therapy
International Normalized Ratio (INR) Self-Monitoring Devices
Intradiscal Electrothermal Therapy
Invitro Fertilization Attempts

J

K

L

Laser Treatment for Skin Conditions
Low-Dose Computed Tomography for Lung Cancer Screening

M

Magnetic Resonance Imaging (MRI) of Breast
Multiple Myeloma

N 

Noninvasive Prenatal Testing for Fetal Aneuploidy
Nutritional Counseling

O

Oxygen and Oxygen Supplies

P

Percutaneous Techniques for Disc Decompression
Phototherapy in the Treatment of Skin Conditions
Positron Emission Tomography
Protease Inhibitors for Hepatitis C
Pulmonary Rehabilitation
Pulse Electrical Stimulation for the Knee
Pulse Oximetry

Q

R

Reconstructive Surgery After Weight Loss
Reduction Mammoplasty
Remicade Prior Authorization
Rituxan

S

Sacral Nerve Stimulation for Urge Urinary Incontinence
Serum Antibodies Assays for the Diagnosis of IBD
Skin Tag Removal
Solid Organ Transplant
Speech Easy Device
Surgical Decompression for Diabetic Neuropathy
Supprelin

T

Temporomandibular Disorders
Thermography
Treatment of Acne & Actinic Keratosis
Treatment of Varicosities
Transcranial Magnetic Stimulation

U

V

Vagus Nerve Stimulation for Depression
Vestibular Rehabiliation

W

X

Y

Z

Zytiga and Xtandi Prior Authorization

Please continue to check back. Policies are being added often.

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