Chelation Therapy - Edetate Calcium Disodium (Calcium EDTA)

Chelation Therapy - Deferoxamine Mesylate (Desferal)

Chelation Therapy - Dimercaprol (BAL)

Peripheral Artery Disease of the Lower Extremities Angiography, Screening & Exercise Rehabilitation

Allogeneic Hematopoietic Cell Transplantation

Allogeneic Pancreas Transplant

Autologous & Allogeneic Pancreatic Islet Cell Transplantation

Donor Lymphocyte Infusion for Hematologic Malignancies after Allogeneic Hematopoietic Progenitor Cell Transplantation

Hematopoietic Stem Cell Transplantation for Genetic Diseases & Aplastic Anemias

Hematopoietic Stem Cell Transplantation for Germ Cell Tumors

Hematopoietic Stem Cell Transplantation for Hodgkin Disease & non-Hodgkin Lymphoma

Hematopoietic Stem Cell Transplantation for Multiple Myeloma & Other Plasma

Cell Dyscrasias

Stem Cell Transplantation: Solid

Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors

Hematopoietic Stem Cell Transplantation for Select Leukemias & Myelodysplastic Syndrome

Hematopoietic Stem Cell Transplantation for Thalassemia Major & Sickle Cell Disease

Stem Cell Transplantation: Blood Cancers

Umbilical Cord Blood Progenitor Cell Collection, Storage

& Transplantation

Assessing Your Weight

Healthy Weight & Finding a Balance

Losing Weight

Preventing Weight Gain

Chronic Kidney Disease Basic Education

Chronic Kidney Disease Prevention & Risk Management

Diabetes Care Schedule

Diabetes Education & Support

Diabetes

& Mental Health

Preventing Diabetic Complications & Managing Sick Days

Diabetic Pharmacological Management During Ramadan

Education & Diabetic Management During

Ramadan

Risk Stratification of Patients with T2 DM Who Wish to Fast During Ramadan

Structured Pre-Ramadan Education to Raise Awareness Risks of Diabetes & Fasting

Healthy Weight & Eating Well with Diabetes

Healthy Eating for a Healthy Weight

Healthy Weight

Healthy Weight & Finding a Balance

Physical Activity for a Healthy Weight

Tips for Parents-Ideas to Help Children Maintain a Healthy Weight

Living with Diabetes

Physical Activity for People with Diabetes

Chronic Pain Programs

Preparing for Natural Disasters for People with Diabetes

Management of Your Blood Sugar

Managing Your Blood Sugar

Preventing Heart Disease

Preventing Heart Disease & Choosing Healthy Habits

Preventing Heart Disease & Knowing Your Risk for Heart Disease

Adult Preventive Health Guidelines

Chronic

Vertigo Treatment

Dysphagia/Swallowing Diagnosis & Therapy

Treatment of Tinnitus

Ultrasonic

Surgery for Meniere's Syndrome

Vestibular Rehabilitation

Voice

Therapy

Chelation Therapy - Edetate Calcium Disodium (Calcium EDTA)

Chelation Therapy - Deferoxamine Mesylate (Desferal)

Chelation Therapy - Dimercaprol (BAL)

Fecal Bacteriotherapy

Fecal Microbiota Transplantation FMT

Gastric Pacing, Enterra Therapy

Frequency of Hemodialysis Services

Out-of-Network Outpatient Dialysis at In-Network Level of Benefits

Percutaneous Tibial Nerve Stimulation

Peritoneal Dialysis

Allogenic Hematopoietic Cell Transplants for Sickle Cell Anemia & beta-Thalassemia

Chelation Therapy - Edetate Calcium Disodium (Calcium EDTA)

Chelation Therapy - Deferoxamine Mesylate (Desferal)

Chelation Therapy - Dimercaprol (BAL)

COVID-19 Convalescent Plasma

Low Density Lipoprotein (LDL) Apheresis

Plasmapheresis

Therapeutic Phlebotomy

Acute Inpatient Rehabilitation

Axial/Spinal Decompression Therapy/Mechanical Traction (Provided in a Clinic Setting)

Chiropractic Services

Constraint-Induced Therapy

Fluidized Therapy (Fluidotherapy)

Mechanical Stretching Devices for Joint Stiffness & Contracture

Osteopathic Manipulative Treatment

Occupational Therapy

Therapy & Rehabilitation Services

Physical Therapy

Physical Therapy & Occupational Therapy

Range of Motion Testing

Strapping

Treatment of Autism Spectrum Disorders

Epilepsy Surgery

Ketogenic Diet for Treatment of Intractable Seizures

Monoclonal Antibody Therapies for Migraine Prevention

Neurological & Brain Injury Life Skills & Rehabilitation

Subacute Inpatient Rehabilitation

Spinal Cord Injury Inpatient Rehabilitation

TBI Inpatient Rehabilitation

Vagus Nerve Stimulation for Epilepsy

Applied Behavioral Analysis (ABA)

Attention Deficit Hyperactivity Disorder Assessment & Treatment

Screening for Autism Spectrum Disorders & Rett Syndrome

Behavioral Health Coaching & Peer Support Services

Biofeedback

Biofeedback for Chronic Pain

Cognitive Rehabilitation

Electro-convulsive Therapy (ECT)

Family Psychotherapy

Group Psychotherapy

Inpatient Adult Psychiatry-

Treatment Days 1-6

Inpatient Adult Psychiatry-

Treatment Days 7-13

Inpatient Treatment for Substance-Related & Addictive Disorder Treatment

Inpatient Withdrawal Management (Detoxification)

Intensive In-home Behavioral Health Services

Intensive Outpatient Program Substance-Related & Addictive Disorder Treatment

 Interactive Complexity Services

Low Intensity Residential Clinical Services for Substance-Related & Addictive Disorder Treatment

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment (CMS161v10)

Methadone Treatment for Opiate Addiction

Observation Status Adult Psychiatry

Outpatient (Office Based) Medication Assisted Treatment (MAT) Opioid Use Disorder

Outpatient Treatment of Substance-Related & Addictive

Disorder Treatment

Partial Hospitalization Program Substance-Related & Addictive

Disorder Treatment

Partial Hospitalization Program: Adult Psychiatry

Partial Hospitalization Programs

Psychiatric Diagnostic Evaluation

Psychiatric Inpatient Hospitalization

Psychoanalysis

Psychological & Neuropsychological Tests

Psychotherapy

Psychosocial Rehabilitation Services

Psychotherapy for Crisis

Residential Treatment Center for Substance-Related  Addictive Disorder Treatment

Residential Treatment Center with 24-Hour Nursing for Substance-Related & Addictive

Disorder Treatment

Residential Withdrawal Management (Detoxification)

Substance-Related & Addictive

Disorder Treatment - Detoxification

Substance-Related & Addictive

Disorder Treatment - Rehabilitation

Substance-Related Outpatient Withdrawal (Detoxification) with Extended On-Site Monitoring

Substance-Related Outpatient Withdrawal (Detoxification) without Extended On-Site Monitoring

Targeted Case Management

Transcranial Magnetic Stimulation (TMS)

Diagnostic

Aerosol or Vapor Inhalation

Electrical Stimulators - Diaphragmatic/Phrenic Nerve, Functional and Neuromuscular

Obstructive

Sleep Apnea Treatment

Phrenic (Diaphragmatic) Nerve Stimulation

Pulmonary Rehabilitation

Respiratory Therapeutic Services

Accelerated Partial Breast Irradiation

(APBI)

Accelerated Breast Irradiation & Brachytherapy Boost After Breast-Conserving Surgery for Early-Stage Breast Cancer

Brachytherapy-Oncologic Applications

Brachytherapy

Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions

Chemotherapy Observation or Inpatient Hospitalization

Electric Tumor Treatment

Field Therapy

Endobronchial Brachytherapy

Fractionation, Image-Guidance, & Special Services

Implantable Beta-Emitting Microspheres for Treatment of Malignant Tumors

Inpatient Admission for Radiation Therapy

Inpatient Admission for Radiation Therapy for Cervical or Thyroid Cancer

Intensity-Modulated Radiation Therapy (IMRT): Abdomen & Pelvis

Intensity-Modulated Radiotherapy of the Breast & Lung

Intensity Modulated Radiation Therapy (IMRT)

Intensity-Modulated Radiotherapy of the Prostate

Hyperthermia (deep, intracavitary, whole body) for Cancer Therapy

Hyperthermia (superficial external, interstitial) for Cancer Therapy

Hyperthermia Treatment for Cancer (Local, Regional & Whole Body)

Hyperthermic intraperitoneal chemotherapy (HIPEC)

Implantable Beta-Emitting Microspheres for Treatment of Malignant Tumors

Inpatient Admission for Radiation Therapy

Intensity Modulated Radiation Therapy (IMRT)

Isolated Limb Perfusion/Infusion for Malignant Melanoma

Oncologic Applications of Photodynamic Therapy

Proton Beam Radiotherapy

(CNS & Axial Skeleton)

Microwave Thermotherapy

Proton Beam Radiotherapy ( Non CNS )

Radiation Therapy for T1 Basal Cell & Squamous Cell Carcinomas of the Skin

Radiation Therapy: Fractionation, Image-Guidance, & Special Services

Radioembol-ization for Primary & Metastatic Tumors of the Liver

Selective Internal Radiation Therapy (SIRT) for Primary & Secondary Hepatic Malignancy (Yttrium-90 -Microsphere Hepatic Brachytherapy)

Stereotactic Radiosurgery (SRS) & Stereotactic Body Radiation Therapy

(SBRT)

Stereotactic Radiosurgery (Intracranial)

Radio-frequency Tumor Ablation

Tumor Treatment Fields (TTF) Therapy for Glioblastoma

Whole Brain Radiotherapy (WBRT)

Actinic

Keratosis

Allergen Immunotherapy

Allergy

Testing

Eye

Allergy Testing: Patch Testing

Allergy Testing In Vivo (Skin Tests)

Allergy Treatments

-Humana-

Electrical Stimulation (ES) & Electromagn-etic Therapy for the Treatment of Wounds

EpiFix Wound Treatment

Lymphedema & Venous Stasis Ulcer Treatments

Complex Lymphedema Therapy (Complete Decongestive Therapy)

Lymphedema- Diagnosis & Treatment

Phototherapy & Photochemo-therapy (PUVA) for Skin Conditions

Targeted Phototherapy & Psoralen with Ultraviolet A for Vitiligo

Topical Photosensitizers used with PDT for Actinic Keratoses

& Certain Skin Cancers

Treatment of Decubitus Ulcers

Wound

Care

Allergy Immunotherapy

Ambulance Services

Air & Water

Ambulance Services

Non-emergency Ground

Ancillary Services for Pregnancy Complications

Aquatic

Therapy

Art Therapy

Donor Human Milk

Electric Stimulation for Pain, Swelling & Function in a Clinic Setting

Electrical Stimulators for Pain & Nausea/Vomiting

Electrical Stimulation for the Treatment of Pain & Muscle Rehabilitation

Equine-assisted Therapy for Behavioral Health

Eye Movement Desensitization &

Reprocessing (EMDR)

Home Health Aides

Home Phototherapy Devices for Neonatal Hyperbilirubinemia

Hydration Therapy

Hyperbaric & Topical Oxygen Therapies

Inpatient Subacute Care

Intestinal Rehabilitation Programs

Iontophoresis

Long Term Care Hospitals (LTCH)

Low Level Laser Therapy (Cold Laser Therapy), High Power Laser Therapy

Manipulative Therapy

Medical

Maggots

Medicinal Leech Therapy

Bio-Surgery Medicinal Leech Therapy & Medical Maggots

Neonatal Level of Care

Non-pharmacologic Treatments for Chronic

Vertigo

Observation Room Services

Observation vs. Admission Criteria Making for the Treatment of Emergency Room Conditions

Outpatient Skilled Nursing & Skilled Rehabilitation Services

Outpatient Use of Arixtra, Direct Thrombin Inhibitors, and Low Molecular Weight Heparin (LMWH)

Parenteral Drug Administration & In-Office Dispensing of Medications

Pet

Therapy

Pritikin Program

Private Duty Nursing in the Home Setting

Skilled Home Health Care Nursing Services

Skilled Nursing Facility Services

Special Treatment Procedure & Special Physics Consult

Platelet-Derived Growth Factors for Wound Healing

Transcatheter Infusion

Therapy