Clinical Coverage/Medical Policy Updates
QualChoice updates a select number of clinical coverage policies each month, ensuring the reviewal of all policies on an annual basis.
CP.BH.105 - Applied Behavioral Analysis Documentation Requirements (PDF)
CP.BH.MP.124 - Attention Deficit Hyperactivity Disorder and Treatment (PDF)
CP.MP.117 - Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (PDF)
CP.MP.168 - Biofeedback (PDF)
CP.MP.174 - Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy (PDF)
CP.MP.180 - Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (PDF)
CP.MP.185 - Skin and Soft Tissue Substitutes for Diabetic Foot Ulcers and Venous Leg Ulcers (PDF)
CP.MP.190 - Outpatient Oxygen Use (PDF)
CP.MP.38 - Ultrasound in Pregnancy (PDF)
CP.MP.91 - Obstetrical Home Care Programs (PDF)
AR.CP.MP.37 - Bariatric Surgery
CP.MP.101 - Donor Lymphocyte Infusion
CP.MP.146 - Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins
CP.MP.160 - Implantable Wireless Pulmonary Artery Pressure Monitoring
CP.MP.170 - Nerve Blocks and Neurolysis for Pain Management
CP.MP.176 - Outpatient Cardiac Rehabilitation
CP.MP.246 - Pediatric Kidney Transplant
CP.MP.69 - Intensity-Modulated Radiotherapy
CP.BH.MP.124 - Attention Deficit Hyperactivity Disorder and Treatment (PDF)
CP.MP.117 - Spinal Cord, Peripheral Nerve, and Percutaneous Electrical Nerve Stimulation (PDF)
CP.MP.168 - Biofeedback (PDF)
CP.MP.174 - Selective Dorsal Rhizotomy for Spasticity in Cerebral Palsy (PDF)
CP.MP.180 - Implantable Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea (PDF)
CP.MP.185 - Skin and Soft Tissue Substitutes for Diabetic Foot Ulcers and Venous Leg Ulcers (PDF)
CP.MP.190 - Outpatient Oxygen Use (PDF)
CP.MP.38 - Ultrasound in Pregnancy (PDF)
CP.MP.91 - Obstetrical Home Care Programs (PDF)
AR.CP.MP.37 - Bariatric Surgery
CP.MP.101 - Donor Lymphocyte Infusion
CP.MP.146 - Sclerotherapy and Chemical Endovenous Ablation for Varicose Veins
CP.MP.160 - Implantable Wireless Pulmonary Artery Pressure Monitoring
CP.MP.170 - Nerve Blocks and Neurolysis for Pain Management
CP.MP.176 - Outpatient Cardiac Rehabilitation
CP.MP.246 - Pediatric Kidney Transplant
CP.MP.69 - Intensity-Modulated Radiotherapy
CP.MP.102 - Pancreas Transplant (PDF)
CP.MP.162 - Tandem Transplant (PDF)
AR.V2.2025 - Concert Genetic Testing Oncology: Cancer Screening and Surveillance (PDF)
CP.MP.136 - Home Births (PDF)
V2 2025 Concert Genetic Testing: CG Multisystem Genetic Conditions (PDF)
V2.2025 Concert Genetic Testing: Identity and Forensics (PDF)
V2.2025 Concert Genetic Testing: Oncology: Hematologic Malignancy (PDF)
V2.2025 Concert Genetic Testing: Hereditary Cancer (PDF)
V2.2025 Concert Genetic Testing: Preimplantation Genetic Testing (PDF)
V2.2025 Concert Genetic Testing: Oncology: Solid Tumor Molecular Diagnostics (PDF)
V2.2025 Concert Genetic Testing: Neurology (PDF)
V2.2025 Concert Genetic Testing: Nutrition and Metabolism (PDF)
V2.2025 Concert Genetic Testing: Oncology: Algorithmic Assays (PDF)
V2.2025 Concert Genetic Testing: Cardiovascular (PDF)
V2.2025 Concert Genetic Testing: Gastroenterology (PDF)
V2.2025 Concert Genetic Testing: Prenatal Screening (PDF)
V2.2025 Concert Genetic Testing: Transplant (PDF)
V2.2025 Concert Genetic Testing: Multisystem Genetic Conditions (PDF)
V2.2025 Concert Genetic Testing: Prenatal Diagnosis (PDF)
V2.2025 Concert Genetic Testing: General Approach to Genetic and Molecular Testing (PDF)
V2.2025 Concert Genetic Testing: Immunology and Rheumatology (PDF)
V2.2025 Concert Genetic Testing: Prenatal and Preconception Carrier Screening (PDF)
V2.2025 Concert Genetic Testing: Nephrology (PDF)
V2.2025 Concert Genetic Testing: Ophthalmology (PDF)
V2.2025 Concert Genetic Testing: Dermatology (PDF)
V2.2025 Concert Genetic Testing: Endocrinology (PDF)
V2.2025 Concert Genetic Testing: Hematology (PDF)
V2.2025 Concert Genetic Testing: Otolaryngology (PDF)
V2.2025 Concert Genetic Testing: Orthopedics (PDF)
V2.2025 Concert Genetic Testing: Respiratory (PDF)
V2.2025 Concert Genetic Testing: Toxicology and Pharmacogenetics Version B (PDF)
CP.MP.162 - Tandem Transplant (PDF)
AR.V2.2025 - Concert Genetic Testing Oncology: Cancer Screening and Surveillance (PDF)
CP.MP.136 - Home Births (PDF)
V2 2025 Concert Genetic Testing: CG Multisystem Genetic Conditions (PDF)
V2.2025 Concert Genetic Testing: Identity and Forensics (PDF)
V2.2025 Concert Genetic Testing: Oncology: Hematologic Malignancy (PDF)
V2.2025 Concert Genetic Testing: Hereditary Cancer (PDF)
V2.2025 Concert Genetic Testing: Preimplantation Genetic Testing (PDF)
V2.2025 Concert Genetic Testing: Oncology: Solid Tumor Molecular Diagnostics (PDF)
V2.2025 Concert Genetic Testing: Neurology (PDF)
V2.2025 Concert Genetic Testing: Nutrition and Metabolism (PDF)
V2.2025 Concert Genetic Testing: Oncology: Algorithmic Assays (PDF)
V2.2025 Concert Genetic Testing: Cardiovascular (PDF)
V2.2025 Concert Genetic Testing: Gastroenterology (PDF)
V2.2025 Concert Genetic Testing: Prenatal Screening (PDF)
V2.2025 Concert Genetic Testing: Transplant (PDF)
V2.2025 Concert Genetic Testing: Multisystem Genetic Conditions (PDF)
V2.2025 Concert Genetic Testing: Prenatal Diagnosis (PDF)
V2.2025 Concert Genetic Testing: General Approach to Genetic and Molecular Testing (PDF)
V2.2025 Concert Genetic Testing: Immunology and Rheumatology (PDF)
V2.2025 Concert Genetic Testing: Prenatal and Preconception Carrier Screening (PDF)
V2.2025 Concert Genetic Testing: Nephrology (PDF)
V2.2025 Concert Genetic Testing: Ophthalmology (PDF)
V2.2025 Concert Genetic Testing: Dermatology (PDF)
V2.2025 Concert Genetic Testing: Endocrinology (PDF)
V2.2025 Concert Genetic Testing: Hematology (PDF)
V2.2025 Concert Genetic Testing: Otolaryngology (PDF)
V2.2025 Concert Genetic Testing: Orthopedics (PDF)
V2.2025 Concert Genetic Testing: Respiratory (PDF)
V2.2025 Concert Genetic Testing: Toxicology and Pharmacogenetics Version B (PDF)
AR.CP.MP.184 - Home Ventilators
CP.BH.104 - Applied Behavior Analysis
CP.BH.105 - ABA Documentation Policy
CP.BH.200 - Transcranial Magnetic Stimulation for Treatment Resistant Major Depression
CP.BH.201 - Deep Transcranial Magnetic Stimulation for the Treatment of Obsessive Compulsive Disorder
CP.MP.132 - Heart-Lung Transplant
CP.MP.181 - Polymerase Chain Reaction Respiratory Viral Panel Testing
CP.MP.242 - Pulmonary Function Testing
CP.MP.252 - Immobilized Lipase Cartridges (Relizorb)
CP.MP.57 - Lung Transplantation
CP.MP.97 - Testing for Select Genitourinary Conditions
CP.BH.104 - Applied Behavior Analysis
CP.BH.105 - ABA Documentation Policy
CP.BH.200 - Transcranial Magnetic Stimulation for Treatment Resistant Major Depression
CP.BH.201 - Deep Transcranial Magnetic Stimulation for the Treatment of Obsessive Compulsive Disorder
CP.MP.132 - Heart-Lung Transplant
CP.MP.181 - Polymerase Chain Reaction Respiratory Viral Panel Testing
CP.MP.242 - Pulmonary Function Testing
CP.MP.252 - Immobilized Lipase Cartridges (Relizorb)
CP.MP.57 - Lung Transplantation
CP.MP.97 - Testing for Select Genitourinary Conditions