Historical Medical Policies and Clinical UM Guidelines
Historical Medical Policies
Medical policies contained within this page are historical and not the most current versions. Current medical policy content may be accessed from the Medical Policies & Clinical UM Guidelines page. Publish dates of the most current version vary per state notification requirements.
- SURG.00028 Surgical and Minimally Invasive Treatments for Benign Prostatic Hyperplasia (BPH) and Other Genitourinary Conditions
- SURG.00037 Treatment of Varicose Veins (Lower Extremities)
- SURG.00047 Transendoscopic Therapy for Gastroesophageal Reflux Disease and Dysphagia
- SURG.00097 Vertebral Body Stapling for the Treatment of Scoliosis in Children and Adolescents
Historical Clinical UM Guidelines
Clinical UM guidelines contained within this page are historical and not the most current versions. Current clinical UM guideline content may be accessed from the Medical Policies & Clinical UM Guidelines page. Effective dates of the most current version vary per state notification requirements.