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Dental Policy
Introduction | Table of Contents | Recent Updates | Contact Medical Policy Staff


Index

Last updated: (May 1, 2024)

I

IDH1 and IDH2 testing
IDH1 and IDH2 testing (panels)
Idiopathic pulmonary artery hypertension
IFUSE® Implant System (SI Bone)
IgA food panel test
IgE in vitro test
IgG allergen levels
IgG4 antibody testing
IKBKAP
i-LIMB
Image-Guided Minimally Invasive Spinal Decompression (IG-MSD)
Immunotherapy; adoptive
Immunotherapy; sublingual
Impella
Implant; breast
Implantable interstitial glucose sensor; insertion
Implantable interstitial glucose sensor; removal
Implantable magnetic esophageal ring

IMRT

Incontinence, urge, sacral nerve stimulation
Indego® (Parker Hannifin Corp.)
Inert gas rebreathing
Inferential electrical stimulation
INFINITI® Neural Response Panel (PersonalizeDx Labs)
Infliximab
InformaSeqSM Prenatal Test (Integrated Genetics)
Inherited cardiomyopathy
Innocur
Innotest® assays for T-tau, P-tau, and AB-42 (Fujirebio [previously Innogenetics])
Inpatient rehabilitation
Inpatient Behavioral Health
Inpatient Chemical Dependency
Inpatient Level of Care
Insight TNBCtype™ (Insight Molecular Labs)
In-Space (Synthes)
Inspan™ Spinous Process Plate System
Inspire® II Upper Airway Stimulation System (Inspire Medical Systems)
Instrateck
Integrated BRACAnalysis® (Myriad Genetics)

Intensity Modulated Radiation Therapy

Intensity-Modulated Radiation Therapy
Intensive Outpatient Program Level of Care
InterBRIDGE™ Interspinous Posterior Fixation System (LDR Spine)
Interceptor™ PLUS carotid filter system
Interlaminar stabilization
Intermediate care facility
Interspinous process decompression
Interspinous spacer
Interspinous anchors
Interspinous U (Paradigm Spine)
Interstim Device
Intertrochanteric osteotomy; impingement
Intestinal transplant
Intra-aortic balloon pump
Intracardiac ischemia monitoring
Intracoronary hyperoxemic perfusion
Intracutaneous test
Intradermal dilutional test
Intradermal test
Intrinsic Hepcidin IDx™ Test
Investigational Device Exemption (IDE)
InVitae Assay (InVitae Corp., San Francisco, CA)
iPED®
IRF
Iridology, allergy testing
Iris prosthesis, CustomFlex Artificial Iris
Irradiation; charged particle (Proton or Helium Ion)
Irreversible electroporation (IRE) tumor ablation, NanoKnife (AngioDynamics)
Ischemic heart disease; stem cell therapy
Islet autotransplantation (IAT)
Islet cell transplantation
Isobar® (Scient’x)
Isolated small bowel transplantation
iTind
Ixmyelocel-T (Vericel Corporation, formerly Aastrom Biosciences)

 

 

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