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Automated Clinical Guidelines


Adoptive Immunotherapy

Indicates Non-covered Service

Diagnosis & Treatment of Tempooro-mandibular Joint Disorder
Self-management Training & Educational Supplies
Extracorporeal Membrane Oxygenation (ECMO) for Adult Conditions
Evoked Potentials, Intraoperative Neurophysiologic Monitoring, & Quantitative Electroencephal-ography (QEEG)
Extracorporeal Shock Wave (ESW) Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions (ECP)
Extracorporeal Photopheresis (ECP)
Extracorporeal Shock Wave Therapy in the Treatment of Peyronie’s Disease
Home Prothrombin Time Monitoring
Foot Care Services
Hyperbaric Oxygen Therapy (Systemic & Topical)
Ingestible pH & Pressure Capsule
Preventive Services
Minimally Invasive Procedures for the Treatment of Gastroesophageal Reflux Disease (GERD) & Dysphagia
Quantitative Sensory Testing
Psoralens Plus Ultraviolet A (PUVA) Therapy (Photochemo- therapy)
Signal Averaged Electrocardiography (SAECG)
Physical Therapy (PT) & Occupational Therapy (OT)
Pelvic Floor Stimulation as a Treatment of Incontinence
Transcranial Doppler Studies
Transanal Radiofrequency Therapy as a Treatment of Fecal Incontinence
Speech Therapy Services
Wireless Capsule Endoscopy
Wearable & Non-Wearable Cardioverter Defibrillators (WCD)
Neuro-psychological Testing
Outpatient Medical Nutrition Therapy
Orthopedic Applications of Stem-Cell Therapy
Outpatient Pulmonary Rehabilitation
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