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
|
January 19, 2022 |
January 19, 2022 |
January 19, 2023 |
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
|
March 16, 2022 |
March 16, 2022 |
March 16, 2023 |
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-038 |
Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)
|
February 16, 2022 |
February 16, 2022 |
February 16, 2023 |
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
|
December 27, 2021 |
November 27, 2021 |
November 27, 2022 |
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
|
March 23, 2022 |
March 23, 2022 |
March 23, 2023 |
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 20, 2022 |
April 20, 2022 |
April 20, 2023 |
MP-051 |
Electroretinography
|
November 17, 2021 |
November 17, 2021 |
November 17, 2022 |
mp-065 |
Eye Movement Desensitization and Reprocessing (EMDR) Therapy
|
March 16, 2022 |
March 16, 2022 |
March 16, 2023 |
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 Affirming Surgery
|
October 23, 2021 |
August 23, 2021 |
August 23, 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 19, 2022 |
January 19, 2022 |
January 19, 2023 |
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
|
February 16, 2022 |
February 16, 2022 |
February 16, 2023 |
I |
MP-035 |
Implantable Hemodynamic Monitor for Managing Patients with Heart Failure (e.g. CardioMEMS)
|
December 15, 2021 |
December 15, 2021 |
December 15, 2022 |
MP-016 |
Infertility Testing and Treatment
|
January 19, 2022 |
January 19, 2022 |
January 19, 2023 |
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
|
October 27, 2021 |
October 27, 2021 |
October 27, 2022 |
MP-039 |
MRI Guided Focused Ultrasound (MRgFUS)
|
June 16, 2021 |
June 16, 2021 |
June 16, 2022 |
MP-066 |
Myocardial Strain Imaging
|
March 16, 2022 |
March 16, 2022 |
March 16, 2023 |
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-073 |
Prostatic Urethral Lift (UroLift®) for Benign Prostatic Hypertrophy
|
January 15, 2022 |
November 15, 2021 |
November 15, 2022 |
MP-009 |
Proton Beam Therapy
|
August 18, 2021 |
August 18, 2021 |
August 18, 2022 |
R |
MP-017 |
Radioembolization/Selective Internal Radiation Therapy (SIRT)
|
December 15, 2021 |
December 15, 2021 |
December 15, 2022 |
S |
MP-069 |
Serologic Testing for Liver Fibrosis
|
April 23, 2022 |
February 23, 2022 |
February 23, 2023 |
mp-067 |
Speech Generating Devices
|
August 14, 2021 |
June 07, 2021 |
June 07, 2022 |
MP-064 |
Sublingual Immunotherapy (SLIT)
|
February 16, 2022 |
February 16, 2022 |
February 16, 2023 |
T |
mp-071 |
Therapeutic Nerve Blocks for Post-Operative Pain Management
|
August 24, 2021 |
October 24, 2021 |
August 24, 2022 |
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 20, 2022 |
April 20, 2022 |
April 20, 2023 |
MP-032 |
Transtympanic Micropressure Treatment for Ménière’s Disease
|
November 17, 2021 |
November 17, 2021 |
November 17, 2022 |
V |
MP-027 |
Vectra DA Blood Test for Rheumatoid Arthritis
|
November 17, 2021 |
November 17, 2021 |
November 17, 2022 |
MP-053 |
Vertebral Axial Decompression
|
December 15, 2021 |
December 15, 2021 |
December 15, 2022 |
MP-029 |
Vestibular Evoked Myogenic Potential (VEMP) Testing
|
November 17, 2021 |
November 17, 2021 |
November 17, 2022 |
MP-056 |
Vitamin D Testing
|
June 16, 2021 |
June 16, 2021 |
June 16, 2022 |