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Medical Policies

Johns Hopkins HealthCare's medical policies are developed to assist in administering plan benefits and do not constitute medical advice. Please read our medical policies 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 the service or supply.

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

CMS01.03 Acupuncture
CMS10.05 Applied Behavioral Analysis

B

CMS02.12 Biofeedback
CMS02.13 Bronchial Thermoplasty in the Treatment of Asthma

C

CMS11.01 Clinical Practice Guidelines Policy
CMS03.01 Clinical Trials
CMS24.04 Cochlear Implants
CMS05.02 Computed Tomography and Calcium Scoring
CMS03.09 Computed Tomography Angiography (CTA)
CMS01.09 Continuity of Care and Access to Non-Participating Providers
CMS03.12 Cosmetic and Reconstructive Services

D

CMS19.07 Dynamic Splinting for the Treatment of Joint Stiffness and Contracture

E

CMS16.15 Evaluation and Treatment of Pediatric Feeding Disorders and Avoidant, Restrictive Food Intake Disorder
CMS20.05 Expanded Access and Compassionate Use

F

CMS15.04 Foot Orthotics

G

CMS20.03 Gastroesophageal Reflux Disease (GERD) Devices
CMS07.05 Gender Affirmation Treatment & Procedures
CMS07.03 Genetic Testing

H

CMS02.09 Hereditary Cancer Testing: High-Penetrance Breast and Ovarian Cancer
CMS08.04 High-Frequency Pulsed Electromagnetic Stimulation for Healing Chronic Wounds
CMS03.00 Hospice and Palliative Services

I

CMS23.07 Infertility Evaluation and Treatment
CMS09.03 Interferential Therapy
CMS09.04 Intradiscal Electrothermal Therapy (IDET)

J

K

L

M

CMS22.01 Minimally Invasive Treatments of Varicosities

N

CMS14.02 Nutritional Assessment and Management
CMS14.04 Nutritional Treatment - Medically Necessary Food

O

P

CMS04.03 Pharmacogenomics

CMS16.19 Prenatal Obstetrical Ultrasound
CMS11.02 Preventive Health Guidelines
CMS16.18 Prosthetic Devices
CMS16.12 Pulse Electrical Stimulation for the Knee
CMS16.17 Pulse Oximetry

Q

R

CMS03.08 Reconstructive Surgery After Weight Loss

S

CMS21.01 Sacral Neuromodulation for Urinary Urgency Incontinence, Urinary Retention & Fecal Incontinence
CMS23.05 Site of Service - Outpatient Surgical Procedures
CMS19.02 Skin Tag Removal
CMS19.05 Solid Organ Transplant
CMS19.08 Speech Easy Device

T

CMS00.27 Telemedicine/Telehealth
CMS20.04 Thermography
CMS16.02 Treatment for Skin Conditions
CMS02.16 Treatment of the Cornea

U

V

CMS22.06 Vagus Nerve Stimulation for Depression

W

X

Y

Z