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• ABRAXANE™ (nanoparticle albumin-bound (nab) paclitaxel) (American Pharmaceutical Partners Inc.) for Treatment of Breast Cancer – View Report
• ACIST® Angiographic Injection System (ACIST Medical Systems Inc.) for Variable Automatic Power Injection of Contrast Medium for Cardiac Applications – View Report
• Acticoat™ (Smith & Nephew Inc.) for Burn Wounds – View Report
• Actigraphy for Diagnosis of Obstructive Sleep Apnea (OSA) – View Report
• Agento® I.C. Silver-Coated Endotracheal Tube (C.R. Bard Inc.) for the Prevention of Ventilator-Associated Pneumonia (VAP) – View Report
• AGILE™ Patency System (Given Imaging Ltd.) for Verification of Gastrointestinal Patency Prior to Capsule Endoscopy – View Report
• Agility™ Prosthesis (Depuy Orthopedics Inc.) for Total Ankle Replacement – View Report
• Airtraq® (Prodol Meditec S.A.) to Aid Difficult Tracheal Intubation in Hospitalized Adults – View Report
• Alair Bronchial Thermoplasty System (Asthmatx Inc.) for Treatment of Asthma – View Report
• AlloDerm® Regenerative Tissue Matrix (LifeCell Corp.) for Postmastectomy Breast Reconstruction – View Report
• Allogeneic Stem Cell Transplantation for Chronic Lymphocytic Leukemia (CLL) – View Report
• Allomap™ Molecular Expression Testing (XDX INC. [EXPRESSION DIAGNOSTICS]) for Detection of Heart Transplant Rejection – View Report
• Alpha-1 Antitrypsin (AAT) Replacement Therapy for AAT Deficiency Lung Emphysema – View Report
• AlphaCor™ Artificial Cornea (Addition Technology Inc.) – View Report
• Aminolevulinic Acid with Photodynamic Therapy (ALA-PDT) for Warts – View Report
• AmniSure® (AmniSure International LLC) for Detection of Fetal Membrane Rupture – View Report
• Anodyne® Therapy System (Anodyne Therapy LLC) for Peripheral Neuropathy – View Report
• Antibacterial Suture for Prevention of Infection – View Report
• Arthrographic Hydrodilatation for Adhesive Capsulitis (Frozen Shoulder) – View Report
• Arthroscopic Hip Surgery for Femoroacetabular Impingement (FAI) – View Report
• Arthroscopic Microdiscectomy for Lumbar Disc Herniation – View Report
• Atacand® (candesartan cilexetil) (AstraZeneca) for Heart Failure – View Report
• AtriCure® Devices (AtriCure Inc.) for the Thoracoscopic Maze Procedure – View Report
• Autologous Platelet-Rich Plasma to Aid Bone Fusion Following Ankle Surgery – View Report
• Autologous Stem Cell Transplantation Followed by Nonmyeloablative Allogeneic Stem Cell Transplantation for Treatment of Multiple Myeloma – View Report
• Autologous Stem Cell Transplantation for Acute Myocardial Infarction – View Report
• Avastin® (bevacizumab) for the Treatment of Ovarian Cancer – View Report
• Avastin® (bevacizumab) (Genentech Inc.) for Age-Related Macular Degeneration – View Report
• Avastin® (bevacizumab) (Genentech Inc.) for Metastatic Breast Cancer – View Report
• Avastin® (Bevacizumab) (Genentech Inc.) for the Treatment of Metastatic Renal Cell Carcinoma – View Report
• Avastin® (Bevacizumab) (Genentech Inc.) for Treatment of Glioblastoma in Adults – View Report
• Avastin® (Intravitreal Bevacizumab) (Genentech Inc.) for Treatment of Choroidal Neovascularization Secondary to Pathological Myopia – View Report
• Balloon Kyphoplasty for Vertebral Compression Fractures – View Report
• Bariatric Surgery for Pediatric Morbid Obesity [REVISED 02.22.06] – View Report
• Bayley Scales of Infant (and Toddler) Development Testing (Pearson Education Inc.) for Developmental Delays in Infants – View Report
• Beds and Mattresses Designed to Prevent Pressure Ulcers – View Report
• Bexxar® (tositumomab and iodine-131 tositumomab) (GlaxoSmithKline) for Treatment of Refractory or Relapsed Non-Hodgkin’s Lymphoma (NHL) – View Report
• Biofeedback for the Treatment of Dysfunctional Voiding in Children – View Report
• Bioimpedance for Assessment of Lymphedema – View Report
• BioniCare Knee System (VQ OrthoCare) for Treatment of Osteoarthritis of the Knee – View Report
• Biopatch® Antimicrobial Dressing (Integra LifeSciences Corp. and Ethicon Inc., a division of Johnson & Johnson Co.) for Prevention of Catheter- and Device-Related Bloodstream Infections – View Report
• Bipolar PlasmaKinetic Electrovaporization for Benign Prostatic Hyperplasia (BPH) – View Report
• Blood Volume Analysis Using the BVA-100 Blood Volume Analyzer (Daxor Corp.) for Management of Patients with Chronic Heart Failure – View Report
• Boston® Equalens® Scleral Contact Lens (Polymer Technology Corp.) for Severe Ocular Surface Disease – View Report
• Botulinum Toxin Treatment for Gastroparesis – View Report
• Brainstem Auditory Evoked Response (BAER) for Assessment of Brainstem Dysfunction in Patients with Chiari Malformations – View Report
• Breast-Specific Gamma Imaging (BSGI) Using the Dilon 6800® Gamma Camera (Dilon Technologies Inc.) – View Report
• Bryan® Cervical Disc System (Medtronic Sofamor Danek) for Degenerative Disc Disease – View Report
• Buteyko Breathing Technique for Treatment of Asthma – View Report
• Calypso® 4D Localization System (Calypso Medical Technologies Inc.) for Guidance of Prostate Cancer Radiation Therapy – View Report
• Canaloplasty (iTrack 250A Canaloplasty Microcatheter; iScience Interventional Inc.) for Primary Open-Angle Glaucoma – View Report
• Cancer Antigen 15-3 (CA 15-3) for Breast Cancer Prognosis – View Report
• Cancer Antigen 27.29 (CA 27.29) for Diagnosis, Staging, and Treatment Monitoring of Breast Cancer – View Report
• Cancer Antigen (CA) 19-9 for Pancreatic Cancer Screening – View Report
• Cancer Antigen (CA) 19-9 for Prognosis of Pancreatic Cancer Resectability – View Report
• Cardioblate® Ablation Systems (Medtronic Inc.) for Atrial Fibrillation – View Report
• Cecostomy for Treatment of Fecal Incontinence in Adults – View Report
• Cecostomy for Treatment of Fecal Incontinence in Children – View Report
• CellSearch Circulating Tumor Cell (CTC) Kit (Veridex LLC) for Monitoring Metastatic Breast Cancer – View Report
• Chantix® (Varenicline Tartrate) (Pfizer Inc.) for Smoking Cessation – View Report
• CHARITÉ™ Artificial Disc (DePuy Spine Inc.) for Degenerative Disc Disease [REVISED 06.21.06 - See Coverage Section for Addendum] – View Report
• ChemoFx® Assay (Precision Therapeutics Inc.) for Prediction of Response to Chemotherapy – View Report
• ChloraPrep® (CareFusion Corp.) for Skin Antisepsis – View Report
• Cialis® (tadalafil) (Lilly USA LLC) for Postprostatectomy Erectile Dysfunction – View Report
• C-Leg Prosthesis (Otto Bock HealthCare LP) – View Report
• Clo-SurPLUS P.A.D.™ Antimicrobial Barrier Dressing (Scion Cardio-Vascular Inc.) for Hemostasis of Percutaneous Arterial Puncture Sites – View Report
• CMI Magnetocardiograph Model 2409 (CardioMag Imaging Inc.) for Diagnosis of Acute Chest Pain – View Report
• Coil Embolization for Pelvic Congestion Syndrome (PCS) – View Report
• Cold Compression Therapy for Orthopedic Conditions – View Report
• Cold Therapy Device (Cryo/Cuff™; Aircast Inc.) for Treatment of Musculoskeletal and Postoperative Orthopedic Trauma – NOTE: Cryo/Cuff is now covered in Cold Compression Therapy for Orthopedic Conditions (published 10/27/11) – View Report
• Combined Positron Emission Tomography-Computed Tomography (PET-CT) for Staging and Restaging Cancer – View Report
• Computed Tomography (CT)-Guided Lung Biopsy with the superDimension® i-Logic™ System (superDimension Inc.) – View Report
• Computerized Dynamic Posturography (CDP) for Diagnosis of Vestibular Disorders – View Report
• Computerized Intravenous (IV) Infusion Systems (Smart Pumps) – View Report
• Continuous Pulse Oximetry for Managing Home Oxygen Therapy in Adults – View Report
• Continuous Renal Replacement Therapy (CRRT) Versus Sustained Low-Efficiency Daily Dialysis (SLED) for Adults with Non–Trauma-Related Acute Renal Failure – View Report
• Continuous Respiratory Monitoring During Patient-Controlled Administration of Opioids – View Report
• Continuous Rotation of Patients with Acute Respiratory Distress Syndrome (ARDS) – View Report
• Continuous Subcutaneous Terbutaline Infusion for Treatment of Preterm Labor – View Report
• Continuous Subglottic Secretion Removal from the Hi-Lo® Evac Endotracheal Tube (Nellcor Puritan Bennett LLC) for Prevention of Ventilator-Associated Pneumonia (VAP) – View Report
• Cook Implantable Doppler Blood Flow Monitor (Cook Medical Inc.) for Continuous Blood Flow Assessment – View Report
• Cooled Radiofrequency Denervation of the Sacroiliac Joint (Pain Management SInergy System, Baylis Medical Co. Inc.) for Treatment of Chronic Low Back Pain – View Report
• Corneal Cross-Linking for Treatment of Keratoconus – View Report
• CoughAssist® Mechanical Insufflation-Exsufflation (MI-E) Device (J. H. Emerson Co.) for Respiratory Insufficiency – View Report
• Cryosurgical Ablation for Malignant Endobronchial Obstruction (EBO) – View Report
• Crystalens® Accommodating Intraocular Lens (Bausch & Lomb Inc.) for Correction of Presbyopia after Cataract Removal – View Report
• CVProfilor® (Hypertension Diagnostics Inc.) for Early Detection of Cardiovascular Disease – View Report
• CyberKnife® Robotic Radiosurgery System (Accuray Inc.) for Lung Cancer and Other Non-Neurological Indications – View Report
• Deep Brain Stimulation for Treatment of Movement Disorders of Multiple Sclerosis – View Report
• Dermoscopy for Detection of Melanoma – View Report
• Descemet Stripping with Manual or Automated Endothelial Keratoplasty for Corneal Endothelial Degeneration – View Report
• Digital Infrared Imaging (Thermography) for Detection of Breast Cancer – View Report
• DISC Nucleoplasty® (ArthroCare Perc™-D® SpineWand™) for Percutaneous Disc Decompression – View Report
• Dorsal Root Entry Zone (DREZ) Thermocoagulation for Chronic Pain Due to Spinal Cord Injury – View Report
• Double-Balloon Enteroscopy for Diagnosis and Treatment of Small Bowel Disease – View Report
• Dynesys® Dynamic Stabilization System (Zimmer Inc.) for Degenerative Spondylolisthesis – View Report
• Electrical Impedance Scanning (EIS) for Detection of Breast Cancer – View Report
• Electrical Stimulation of the Occipital Nerve for Treatment of Occipital Neuralgia – View Report
• Electronic Intensive Care Unit (ICU) Use and Patient Outcomes – View Report
• Electrophysiological Testing for Diagnosing Central Auditory Processing Disorder (CAPD) – View Report
• Embryonic/Fetal Cell Transplantation for Parkinson’s Disease – View Report
• Endeavor® Zotarolimus-Eluting Coronary Stent System (Medtronic Inc.) for Prevention of Restenosis in Native Coronary Arteries – View Report
• Endoscopic Cyclophotocoagulation for Glaucoma – View Report
• Endoscopic Injection and Implantation Techniques for Gastroesophageal Reflux Disease [REVISED 02.08.06] – View Report
• Endoscopic Laser-Assisted Discectomy for Cervical Disc Herniation – View Report
• Endoscopic Radiofrequency Energy Treatment for Gastroesophageal Reflux Disease – View Report
• Endoscopic Strip Craniectomy with Cranial Helmet Molding for Primary Craniosynostosis – View Report
• Endoscopic Suturing for Gastroesophageal Reflux Disease – View Report
• Endovascular Cooling for Therapeutic Hypothermia – View Report
• Entereg® (Alvimopan) (Adolor Corp.) to Reduce Postoperative Ileus – View Report
• Enzyme Immunoassays (Toxin Detection Kits) for Rapid Diagnosis of Clostridium difficile in Hospitalized Patients – View Report
• Eovist® (Bayer Schering Pharma AG) Contrast Agent for Magnetic Resonance Imaging of the Liver – View Report
• Epidermal Growth Factor Receptor (EGFR) Mutation Analysis (GENZYME GENETICS) for Predicting Response of Non-Small Cell Lung Cancer (NSCLC) to Drug Therapy – View Report
• Epidural Adhesiolysis for Chronic Back Pain – View Report
• Erythropoiesis-Stimulating Agents (ESAs) for Interferon/Ribavirin-Induced Anemia in HIV-Negative Patients with Hepatitis C – View Report
• EsophyX System with SerosaFuse Fastener (EndoGastric Solutions) for Endoluminal Repair for Gastroesophageal Reflux Disease (GERD) – View Report
• E-tegrity® Test (Hologic Inc.; distributed by Sepal Reproductive Devices) for Evaluation of Uterine Receptivity – View Report
• EVIZON™ (squalamine lactate) (Genaera Corp.) for Wet Age-Related Macular Degeneration – View Report
• ExAblate® 2000 System (InSightec Ltd.) for Ablation of Uterine Fibroids – View Report
• Excimer Laser Therapy (ELT) for Vitiligo – View Report
• Exhaled Breath Condensate pH Testing for Asthma Management – View Report
• Ex-PRESS Glaucoma Filtration Device (Alcon Inc.) for Treatment of Primary Open-Angle Glaucoma – View Report
• Extracorporeal Photopheresis for the Treatment of Chronic Graft Rejection After Lung Transplantation – View Report
• eXtreme Lateral Interbody Fusion (XLIF; NuVasive Inc.) for Treatment of Chronic Low Back Pain – View Report
• Facial Muscle, Sinus, and Trigeminal Nerve Surgery for Migraine Headaches – View Report
• Femoral Head Resurfacing Arthroplasty for the Treatment of Osteonecrosis – View Report
• FiberNet Embolic Protection System (EPS) (Lumen Biomedical Inc.) for Carotid Artery Stenting – View Report
• FIBROSpect® II Test (Prometheus Laboratories Inc.) for Diagnosis of Liver Fibrosis in Patients with Hepatitis C – View Report
• Finasteride for Treatment of Hair Loss in Women – View Report
• FloTrac™ System (Edwards Lifesciences LLC) for Coronary Artery Bypass Grafting – View Report
• Fluorescent In Situ Hybridization (FISH) for Prenatal Detection of Genetic Abnormalities – View Report
• Fluorine-18-Fluorodeoxyglucose (18F-FDG) Positron Emission Tomography (PET) for Assessing Myocardial Viability – View Report
• Functional Electrical Stimulation (FES) for Treatment of Foot Drop in Multiple Sclerosis Patients – View Report
• Gastric Electrical Stimulation with an Implantable Gastric Stimulator (IGS) for the Treatment of Obesity – View Report
• Genetic Testing for the Diagnosis and Treatment of Narcolepsy – View Report
• Genetic Testing for Thiopurine S-Methyltransferase (TPMT) Activity for Prediction of Response to Thiopurine Drug Therapy for Inflammatory Bowel Disease – View Report
• Genetic Testing of MutY Homolog (MYH) for Prediction of MYH-Associated Polyposis (MAP) – View Report
• Genetic Testing Using the Familion® Test (PGxHealth™) for Diagnosis of Inherited Channelopathies – View Report
• Gordon Diagnostic System (Gordon Systems Inc.) for Attention Deficit Hyperactivity Disorder – View Report
• GORE TAG Endoprosthesis (W. L. Gore & Associates Inc.) for Thoracic Aortic Aneurysms – View Report
• Gynecare Interceed Absorbable Adhesion Barrier (Ethicon Inc.) for Prevention of Adhesions Following Gynecologic Surgery – View Report
• HALO Systems (BÂRRX Medical Inc.) for Ablation of Barrett’s Esophagus – View Report
• HE4 Assay (Fujirebio Diagnostics Inc.) on the Architect® Platform (Abbott Diagnostics) for Ovarian Cancer Monitoring – View Report
• HeartMate II® (Thoratec Corp.) Left Ventricular Assist Device (LVAD) for Destination Therapy in Adult Patients with Chronic Heart Failure – View Report
• Helical Tomotherapy (TomoTherapy Hi·Art System®) for Non-Small Cell Lung Cancer (NSCLC) – View Report
• Heparin-Bonded Polytetrafluoroethylene (PTFE) Gore Propaten® Vascular Graft (W.L. Gore & Associates Inc.) for Treatment of Peripheral Arterial Disease – View Report
• High-Dose Chemotherapy Followed by Autologous Stem Cell Rescue for Metastatic Retinoblastoma in Children – View Report
• Histamine Desensitization Therapy for Prophylaxis Against Intractable Migraine or Chronic Cluster Headaches – View Report
• Holmium Laser Endopyelotomy for Ureteropelvic Junction Obstruction in Adults – View Report
• Holmium Laser Endopyelotomy for Ureteropelvic Junction Obstruction in Children – View Report
• Humira® (adalimumab) (Abbott Laboratories) for Crohn’s Disease – View Report
• Humira® (Adalimumab) (Abbott Laboratories) for Treatment of Pediatric Crohn Disease – View Report
• Hydroxyurea for Treatment of Sickle Cell Disease – View Report
• Hyperbaric Oxygen (HBO) for Treatment of Cerebral Palsy – View Report
• Hyperbaric Oxygen Therapy for Sudden Sensorineural Hearing Loss – View Report
• Hypotensive Regional Anesthesia for Knee Surgery – View Report
• Hysteroscopic Tubal Occlusion – Essure® Permanent Birth Control System (Conceptus Inc.) – View Report
• Imageless Computer-Assisted Surgical (CAS) Navigation for Total Knee Replacement Surgery – View Report
• Impella Recover® LP 2.5 Percutaneous Ventricular Assist Device (Abiomed Inc.) – View Report
• Implantable InterStim Neurostimulator (Medtronic Inc.) for Sacral Neuromodulation in Treatment of Fecal Incontinence in Adults – View Report
• Implantable InterStim Neurostimulator (Medtronic Inc.) for Sacral Neuromodulation in Treatment of Fecal Incontinence in Children – View Report
• Infrared Coagulation for the Treatment of Internal Hemorrhoids – View Report
• Inhaled Nitric Oxide for Acute Respiratory Distress Syndrome (ARDS) in Adults – View Report
• Injection of Radiesse® (BioForm Medical Inc.) for the Treatment of Glottic Insufficiency Including Unilateral Vocal Cord Paralysis (UVCP) – View Report
• INOmax® (INO Therapeutics) for the Treatment of Pediatric Pulmonary Hypertension – View Report
• Inpatient Treatment for Bulimia Nervosa – View Report
• InSpectra™ StO2 Oxygenation Monitor (Hutchinson Technology Inc.) for Measurement of Tissue Oxygen Saturation During Shock – View Report
• Insuflow® Laparoscopic Gas Conditioning Device (Lexion Medical LLC) – View Report
• Intacs™ (Addition Technology Inc.) for Keratoconus – View Report
• InteguSeal® Microbial Sealant (Kimberly-Clark Worldwide Inc.) for Prevention of Surgical Site Infection – View Report
• Intensity-Modulated Radiation Therapy (IMRT) for Malignant Gliomas – View Report
• Intermittent Pneumatic Compression Therapy for Mastectomy-Related Lymphedema – View Report
• Intraarterial Melphalan Infusion for Intraocular Retinoblastoma in Children – View Report
• Intradialytic Parenteral Nutrition (IDPN) for End-Stage Renal Disease in Adults – View Report
• Intralesional Immunotherapy with Skin Test Antigens for the Treatment of Nongenital Warts – View Report
• Intraoperative Radiation Therapy (IORT) for Breast Cancer – View Report
• Intraoperative Radiation Therapy (IORT) for Colorectal Cancer – View Report
• Intraoperative Radiation Therapy (IORT) for Pancreatic Cancer – View Report
• Intratympanic Steroid Injection For Ménière’s Disease – View Report
• Intrauterine Balloon Tamponade for the Management of Postpartum Hemorrhage – View Report
• Intravascular Ultrasound (IVUS)
  for Assessment of Coronary Artery Disease – View Report
• Intravascular Ultrasound (IVUS) for the Assessment of Peripheral Artery Disease (PAD) of the Lower Extremities – View Report
• Intravenous Boniva® (ibandronate sodium) Injection (Roche and GlaxoSmithKline) for the Treatment of Postmenopausal Osteoporosis (PMO) – View Report
• Intravenous Ketamine for Chronic Nonmalignant Pain – View Report
• Intravenous Lidocaine Infusion for Neuropathic Pain – View Report
• Intravitreal Bevacizumab (Avastin®; Genentech Inc.) for the Treatment of Proliferative Diabetic Retinopathy – View Report
• Intravitreal Dexamethasone Drug Delivery System (DDDS) for Treatment of Macular Edema – View Report
• Iontophoresis for Epicondylitis – View Report

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