| A |
| MP-007 |
Ambulatory Insulin Pumps and Closed-Loop Insulin Delivery Systems
|
September 15, 2021 |
September 15, 2021 |
September 15, 2022 |
| B |
| MP-005 |
Balloon Dilation of the Eustachian Tube
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
| MP-052 |
Bariatric Surgery
|
May 19, 2021 |
May 19, 2021 |
May 19, 2022 |
| MP-022 |
Breast Tomosynthesis
|
September 15, 2021 |
September 15, 2021 |
September 15, 2022 |
| MP-011 |
Benign Skin Lesion Removal
|
September 15, 2021 |
September 15, 2021 |
September 15, 2022 |
| C |
| MP-046 |
Carrier Screening for Genetic Diseases
|
March 27, 2021 |
January 27, 2021 |
January 27, 2022 |
| MP-060 |
CO2 (Carbon Dioxide) Fractional Ablative Laser Treatment for Burn Scars
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
| MP-018 |
Cell-free DNA (cfDNA) Testing for Fetal Aneuploidy
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
| MP-037 |
Chromoendoscopy as an Adjunct to Colonoscopy
|
April 21, 2021 |
April 21, 2021 |
April 21, 2022 |
| MP-038 |
Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
|
April 10, 2021 |
February 10, 2021 |
February 10, 2022 |
| MP-003 |
Chromosomal Microarray (CMA)/Comparative Genomic Hybridization (CGH) Testing for Developmental Delay and Fetal Demise
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| MP-014 |
Treatment of Congenital Hemangiomas (Port Wine Stains)
|
September 15, 2021 |
September 15, 2021 |
September 15, 2022 |
| MP-008 |
Continuous Glucose Monitor (CGM)
|
September 28, 2021 |
July 28, 2021 |
July 28, 2022 |
| MP-024 |
Corneal Cross-linking
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| D |
| MP-006 |
DNA Analysis of Stool for Colon Cancer Screening (Cologuard ®)
|
July 26, 2021 |
May 26, 2021 |
May 26, 2022 |
| mp-026 |
Drug Levels and Antibody Testing for Infliximab, Adalimumab, Vedolizumab and Ustekinumab
|
September 20, 2021 |
July 15, 2021 |
July 15, 2022 |
| MP-059 |
Dry Needling
|
July 21, 2021 |
July 21, 2021 |
July 21, 2022 |
| E |
| MP-042 |
Electric Tumor Treatment Field Therapy for the Treatment of Glioblastoma Multiforme
|
April 21, 2021 |
April 21, 2021 |
April 21, 2022 |
| MP-051 |
Electroretinography
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| mp-065 |
Eye Movement Desensitization and Reprocessing (EMDR) Therapy
|
May 11, 2021 |
March 11, 2021 |
March 11, 2022 |
| F |
| MP-062 |
Fecal Microbiota Transplant
|
September 15, 2021 |
September 15, 2021 |
September 15, 2022 |
| MP-044 |
Flow Cytometry
|
July 21, 2021 |
July 21, 2021 |
July 21, 2022 |
| MP-012 |
Formulas and Other Enteral Nutrition
|
September 15, 2021 |
September 15, 2021 |
September 15, 2022 |
| G |
| MP-002 |
Gender Reassignment Surgery
|
August 4, 2021 |
May 7, 2021 |
May 7, 2022 |
| mp-045 |
General Policy for Genetic Testing
|
August 23, 2021 |
June 23, 2021 |
June 23, 2022 |
| MP-033 |
Genetic Testing for Breast and/or Ovarian Cancer Susceptibility (BRCA1/BRCA2)
|
January 20, 2021 |
January 20, 2021 |
January 20, 2022 |
| MP-057 |
Genetic Testing for Melanoma
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
| H |
| MP-055 |
Homocysteine Level Testing
|
September 26, 2021 |
July 26, 2021 |
July 26, 2022 |
| MP-004 |
Hypoglossal Nerve Stimulator for Obstructive Sleep Apnea
|
April 10, 2021 |
February 10, 2021 |
February 10, 2022 |
| I |
| MP-035 |
Implantable Hemodynamic Monitor for Managing Patients with Heart Failure (e.g. CardioMEMS)
|
December 16, 2020 |
December 16, 2020 |
December 16, 2021 |
| MP-016 |
Infertility Testing and Treatment
|
December 16, 2020 |
December 16, 2020 |
December 16, 2021 |
| MP-058 |
Intraoperative Neuromonitoring (IONM)
|
July 21, 2021 |
July 21, 2021 |
July 21, 2022 |
| MP-068 |
Intraosseous Basivertebral Nerve Ablation Procedure (Intracept)
|
August 23, 2021 |
June 23, 2021 |
June 23, 2022 |
| MP-019 |
Invasive Procedures for the Treatment of Glaucoma
|
July 01, 2021 |
June 16, 2021 |
June 16, 2022 |
| M |
| MP-020 |
Methylenetetrahydrofolate Reductase (MTHFR) Mutation Testing
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| MP-039 |
MRI Guided Focused Ultrasound (MRgFUS)
|
June 16, 2021 |
June 16, 2021 |
June 16, 2022 |
| MP-066 |
Myocardial Strain Imaging
|
June 29, 2021 |
April 28, 2021 |
April 28, 2022 |
| P |
| MP-061 |
Peripheral Nerve Stimulation and Peripheral Nerve Field Stimulation
|
July 21, 2021 |
July 21, 2021 |
July 21, 2022 |
| MP-030 |
Pharmacogenomic Testing for Behavioral Health Disorders
|
September 20, 2021 |
September 20, 2021 |
September 20, 2022 |
| MP-048 |
Phototherapy, Photochemotherapy or PUVA, and Excimer Laser Therapy for Dermatologic Conditions
|
October 21, 2020 |
October 21, 2020 |
October 21, 2021 |
| MP-009 |
Proton Beam Therapy
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
| R |
| MP-017 |
Radioembolization/Selective Internal Radiation Therapy (SIRT)
|
December 16, 2020 |
December 16, 2020 |
December 16, 2021 |
| S |
| mp-067 |
Speech Generating Devices
|
August 14, 2021 |
June 07, 2021 |
June 07, 2022 |
| MP-064 |
Sublingual Immunotherapy (SLIT)
|
April 10, 2021 |
February 10, 2021 |
February 10, 2022 |
| T |
| MP-001 |
Transcranial Magnetic Stimulation (TMS)
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
| MP-036 |
Transcutaneous (Non-implantable) Vagus Nerve Stimulation (e.g. gammaCore-S®)
|
April 21, 2021 |
April 21, 2021 |
April 21, 2022 |
| MP-032 |
Transtympanic Micropressure Treatment for Ménière’s Disease
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| V |
| MP-027 |
Vectra DA Blood Test for Rheumatoid Arthritis
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| MP-053 |
Vertebral Axial Decompression
|
Decemeber 16, 2020 |
Decemeber 16, 2020 |
Decemeber 16, 2021 |
| MP-029 |
Vestibular Evoked Myogenic Potential (VEMP) Testing
|
November 18, 2020 |
November 18, 2020 |
November 18, 2021 |
| MP-056 |
Vitamin D Testing
|
June 16, 2021 |
June 16, 2021 |
June 16, 2022 |
