Coverage of Conditions and Treatments (Coverage Decisions)

Use this lookup tool to determine coverage decisions, or if prior authorization is needed for the treatment or condition. Note: For Self-insured employer claims, you must contact the employer or their claims administrator.

List also available in PDF format.

Archived Coverage Decisions.

See Treatment Guidelines and Resources for additional information.

Dynamic Spinal Visualization (DSV) is a term referring to several imaging technologies for the purpose of assessing spinal motion, including Videoflouroscopy (VF), Cineradiography (CR), Digital motion x-ray, and Spinal x-ray digitization.

Related information on coverage and treatment
Coverage Decision and Technology Assessment: Dynamic Spinal Visualization (Date: October 2012).