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


Index

Last updated: (May 1, 2024)

S

Sacral nerve modulation
Sacral nerve stimulation, constipation
Sacral nerve stimulation, fecal incontinence
Sacral nerve stimulation, pelvic pain
Sacroiliac
Sacroiliac joint
Sacroiliac joint fusion
SAECG
SafeBlood®
Salivary hormone testing
SambaScrew® (Orthofix)
Satellite™ spinal system
SBT
SCIT; subcutaneous immunotherapy
Sclerotherapy, varicose veins
Scratch test
Screening DNA stool test
Sculptra
Seat lifts
Seated MRI
Selective internal radiation therapy; SIRT
SEMG
Sensieva™ Droplet 25OH Vitamin D2/D3 Microvolume LC/MS Assay (InSource Diagnostics)
SensorHand
Sensory nerve conduction threshold (sNCT) testing
SEPT9 methylation analysis
SEPT9 methylation analysis
SERT; SERT1; hSERT
Serum biomarkers, CA-125, prealbumin, apolipoprotein A-1, beta 2 microglobulin, transferrin, human epididymis secretory protein 4 (HE4)
Serum ustekinumab (UST)
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
Sex reassignment surgery
SGDs
SIAscope II (Visiorned AG Astron Clinica, Ltd.)
Signal averaged ECG
Signal-averaged electrocardiography
SIJ-Fuse (Spine Frontier)
Silex™ Sacroiliac Joint Fusion System (XTANT Medical)
SI-LOK® Sacroiliac Joint Fixation System (Globus Medical)
SImmetry® Sacroiliac Joint Fusion System (Zyga Technologies)
Simultaneous pancreas/kidney transplant (SPK)
Single-Lung transplant
Sinuplasty™
Sinus balloon dilation
SIR Spheres
SIRSpheres
SIR-Spheres; Sirtex Medical
SIS fistula plug; Cook Biotech
Skilled nursing facility
Skin substitutes
Skin endpoint titration
SLC6A4
Sleep apnea; surgical management
SLE-key® Rule Out (Veracis Inc.)
SLIT; Sublingual immunotherapy
Small bowel transplant
SMART PGT-A (Pre-implantation Genetic Testing - Aneuploidy) (Igenomix®)
Smart PreP
SmartPReP2® Bone Marrow Aspirate Concentrate System
SMN1
SMN1 panel testing
SMN2
SMN2
SMPD1
SnapshotNIR
SNF
Soft stabilization, spine
Somnoplasty
SonoCalc® (SonoMetric Health, LLC)
SONOCUR® Basic (Seimens)
SpectraScience™ Optical Biopsy™ system, colon
SP-Fix Spinous Process Fixation System (Globus Medical)
SpideRX™ protection device
Spinal interlaminal fixation orthoses
Spinous fixation systems
Spinous process fixation orthosis/orthoses
Spire™ Stabilization System
Splint mouth guard
SPRINT® Peripheral Nerve Stimulation System (SPR Therapeutics, Inc)
STA peg, subtalar
Stabilmax NZ
Standing MRI
Stand-up MRI
Stem Cell and Bone Marrow Transplant
Stem cell therapy
Stem cell therapy for heart disease
Stem cell transplant; allogeneic
Stem cell transplant; autologous stem cell transplant
Stenofix (Synthes)
Stent-assisted coil embolization
Stenting, excluding carotid and intracranial; venous
Stents, carotid
Stents, intracranial atherosclerotic stenoses
Stents; carotid artery
StimQ Peripheral Nerve Stimulator (PNS) System
Stimulation, electrical, functional neuromuscular
Stimulation, threshold electrical
STRATASIS® urethral sling; Cook Biotech
Stretta procedure
Stromal multipotent cells
Stryker DeKompressor Percutaneous Discectomy Probe
SubFix
Sublingual immunotherapy
Substance abuse
Substance use disorders; Acute Outpatient
Substance use disorders; Inpatient Treatment
Substance use disorders; Intensive Outpatient Treatment
Substernal implantable defibrillator pulse generator
Subtalar arthroereisis
Subthalamic nucleus (STN)
Suction Assisted (Suction-Assisted) Protein Lipectomy (SAPL)
Suction lipectomy; breast
SULT4A1
Super Pulsed Laser (Multi Radiance Medical)
Superion ISS (VertiFlex)
Supersaturated oxygen infusion therapy
Suprachoroidal injection
Sural nerve graft
Surface electromyography (SEMG)
Surface electromyography (EMG); paraspinal
Surgical fundoplication
Surgical stockings
Surgical anterior endocardial restoration (SAVER procedure)
Surgical ventricular restoration (SVR)
SURGISIS® soft tissue graft; Cook Biotech
Symbionic Leg3 (Ossur)
SynCardia systems
Synergy IPG

 

 

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