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.

Coverage decision

Use of NC-stat ® for Nerve Conduction Studies (NCS) is not covered.

NC-stat ® from NeuroMetrix ® is a nerve conduction testing system designed to test nerves of the peripheral nervous system. Nerve conduction studies may be appropriate for assessing the integrity of nerves in the peripheral nervous system and are covered when performed with conventional testing systems.