Policy Name Effective Date Updated Review Date
Neurology/Neurosurgery
MP-058 Intraoperative Neuromonitoring (IONM) September 22, 2020 July 22, 2020 July 22, 2021
MP-061 Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation September 22, 2020 July 22, 2020 July 22, 2021
MP-036 Transcutaneous (Non-implantable) Vagus Nerve Stimulation (e.g. gammaCore-S®) April 21, 2021 April 21, 2021 April 21, 2022