Published January 2025

Below is a recap of the Medical Policies that went into effect recently. All policies are reviewed at least once annually. For more detailed information on these changes, please review our Provider FastFax Library or review all MVP Health Care Medical Policies.

Effective December 1, 2024

• Bone Density Study for Osteoporosis (Dexa)
• BRCA Testing (Genetic Testing for Susceptibility to Breast and Ovarian Cancer)
• Breast Surgery for Gynecomastia
• Bronchial Thermoplasty
• Cosmetic and Reconstructive Services
• Dermabrasion
• Endometrial Ablation
• Habilitation Services
• Negative Pressure Wound Therapy Pumps
• Obstructive Sleep Apnea: Devices
• Orthotic Devices other than Therapeutic Diabetic Footwear
• Sacroiliac Joint Fusion