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Medical Policies

The medical policies listed below reflect medical criteria used/developed by Blue Cross and Blue Shield of Kansas. These medical policies do not guarantee benefits under BCBSKS member contracts.

A BCBSKS medical policy may apply to professional providers, to institutional providers or to both. That’s why the medical policy format shows separate effective dates for professional and institutional providers. It’s also why if you compare the list of professional medical policies to the list for institutional providers there could be a difference.

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These are the most recent policy updates.


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Medical Policies

Policy Title PDF Files Date Posted Professional Effective Date Institutional Effective Date
ACA Prevention Copay Waiver Criteria – Individual Marketplace, Commercial 07/01/20 07/01/20 07/01/20
Accelerated Breast Irradiation and Brachytherapy Boost After Breast-Conserving Surgery for Early Stage Breast Cancer 09/12/18 10/12/18 10/12/18
Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynostoses 09/11/19 09/11/19 09/11/19
Alcohol Injection Therapy for Morton’s Neuroma 07/17/19 06/03/11 06/03/11
Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry 02/14/20 07/23/18 07/23/18
Amniotic Membrane and Amniotic Fluid 07/01/20 09/27/19 09/27/19
Analysis of Human DNA in Stool Samples as a Technique for Colorectal Cancer Screening 01/04/19 01/01/17 01/01/17
Anodyne® - Skin Contact Monochromatic Infrared Energy as a Technique to Treat Cutaneous Ulcers, Diabetic Neuropathy, and Miscellaneous Musculoskeletal Conditions 03/01/18 03/13/13 03/13/13
Aqueous Shunts and Stents for Glaucoma 05/22/20 05/28/20 05/28/20
Artificial Intervertebral Disc: Cervical Spine 02/14/20 10/12/16 10/12/16
Artificial Intervertebral Disc: Lumbar Spine 07/17/19 09/23/08 09/23/08
Artificial Pancreas Device Systems 05/22/20 05/21/19 05/21/19
Assays of Genetic Expression in Tumor Tissue as a Technique to Determine Prognosis in Patients with Breast Cancer 02/14/20 02/01/19 02/01/19
Autografts and Allografts in the Treatment of Focal Articular Cartilage Lesions 06/05/19 07/06/18 07/06/18
Autologous Chondrocyte Implantation for Focal Articular Cartilage Lesions 04/08/20 04/08/20 04/08/20
Automated Ambulatory Blood Pressure Monitoring for the Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure 02/14/20 08/16/19 08/16/19
Automated Percutaneous and Percutaneous Endoscopic Discectomy 08/28/19 06/09/17 06/09/17
Automated Point-of-Care Devices for Nerve Conduction Testing 08/14/19 10/26/18 10/26/18
Balloon Sinuplasty for Treatment of Chronic Sinusitis 02/14/20 11/11/16 11/11/16
Bio-Engineered Skin and Soft Tissue Substitutes 07/01/20 11/26/19 11/26/19
Bone Mineral Density Studies 07/01/19 03/04/19 03/04/19
Botulinum Toxin (BT) 09/11/19 10/11/19 10/11/19
BRCA1 and BRCA2 Testing 03/13/19 04/12/19 04/12/19
Breast Reconstructive Surgery After Mastectomy 01/16/19 02/15/18 02/15/18
Bronchial Thermoplasty 08/28/19 02/10/11 03/14/11
Cardiac Computed Tomography (CT) 11/26/19 09/11/12 09/11/12
Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting 06/19/19 09/03/16 09/03/16
Cardiac Rehabilitation in the Outpatient Setting 04/24/19 08/18/17 08/18/17
Catheter Ablation as Treatment for Atrial Fibrillation 10/04/19 08/28/19 08/28/19
Charged-Particle (Proton or Helium Ion) Radiotherapy for Neoplastic Conditions 08/29/18 04/12/17 04/12/17
Chelation Therapy for Off-Label Uses 05/21/19 08/19/16 08/19/16
Chronic Intermittent Intravenous Insulin Therapy 03/27/19 12/09/16 12/09/16
Circulating Tumor DNA Management of Non-Small Cell Lung Cancer (Liquid Biopsy) 08/28/19 09/27/19 09/27/19
Cochlear Implant 03/27/19 03/15/17 03/15/17
Computed Tomographic Angiography (CTA) and Magnetic Resonance Angiography (MRA) of the Head, Neck, Abdomen, Pelvis, and Lower Extremities 10/01/18 01/13/16 01/13/16
Computed Tomography (CT) to Detect Coronary Artery Calcification 01/17/20 11/14/08 11/14/08
Continuous or Intermittent Monitoring of Glucose in Interstitial Fluid 01/16/19 05/11/18 05/11/18
Continuous Passive Motion in the Home Setting 04/24/19 09/16/16 09/16/16
Contrast-Enhanced Coronary Computed Tomography Angiography (CCTA) for Coronary Artery Evaluation 05/22/20 12/21/16 12/21/16
Corneal Collagen Cross-Linking 07/01/19 08/01/18 08/01/18
Corneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy 08/14/19 09/13/19 09/13/19
Coronary Computed Tomography Angiography with Selective Noninvasive Fractional Flow Reserve 08/14/19 08/14/19 08/14/19
Cryosurgical Ablation of Miscellaneous Solid Tumors Other Than Liver, Prostate, or Dermatologic Tumors 02/14/20 03/04/19 03/04/19
Cryosurgical Ablation of Primary or Metastatic Liver Tumors 09/12/18 06/12/15 06/12/15
Cytochrome p450 Genotyping 10/01/16 03/31/14 03/31/14
Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies 04/22/20 04/12/19 04/12/19
Decompression of the Intervertebral Disc Using Laser Energy (Laser Discectomy) or Radiofrequency Coblation (Nucleoplasty) 09/11/19 02/08/10 02/08/10
Deep Brain Stimulation 07/01/19 05/24/17 05/24/17
Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome 12/02/19 01/01/20 01/01/20
Diagnosis and Treatment of Chronic Cerebrospinal Venous Insufficiency in Multiple Sclerosis 07/01/17 08/01/17 08/01/17
Diagnosis and Treatment of Sacroiliac Joint Pain 08/05/20 09/13/19 09/13/19
Drug Testing in Pain Management and Substance Use Disorder Treatment 10/04/19 02/15/18 02/15/18
Dry Needling of Myofascial Trigger Points 02/14/20 01/01/17 01/01/17
Dynamic Posturography 02/14/20 06/10/16 06/10/16
Electrical Bone Growth Stimulation of the Appendicular Skeleton 05/21/19 10/17/16 10/17/16
Electrical Stimulation Devices for Home Use 10/01/17 09/05/16 09/05/16
Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures 07/17/20 06/09/17 06/09/17
Electromyography (EMG), Nerve Conduction Studies (NCS), and Other Electrodiagnostic (EDX) Related Services 10/01/18 04/12/13 04/12/13
Electronic Brachytherapy for Nonmelanoma Skin Cancer 08/28/19 09/14/17 09/14/17
Endoscopic Radiofrequency Ablation or Cryoablation for Barrett Esophagus 02/18/19 04/25/16 04/25/16
Enhanced External Counterpulsation (EECP) 06/19/19 11/01/07 11/01/07
Esophageal pH Monitoring 01/30/19 01/30/19 01/30/19
Eteplirsen (Exondys 51) and Golodirsen (Vondys 53) for Duchenne Muscular Dystrophy 03/20/20 04/20/20 04/20/20
Eteplirsen (Exondys 51) for Duchenne Muscular Dystrophy 03/13/19 01/19/17 01/19/17
Expanded Molecular Panel Testing of Cancers to Identify Targeted Therapies 01/01/19 01/20/17 01/20/17
Extracorporeal Shock Wave Therapy (ESWT) for Plantar Fasciitis and Other Musculoskeletal Conditions 07/17/19 08/10/17 08/10/17
Extracranial Carotid Artery Stenting 07/03/19 10/25/17 10/25/17
Eye Movement Desensitization and Reprocessing (EMDR) for Acute Stress Disorder and Post Traumatic Stress Disorder (PTSD) 07/03/19 11/01/07 11/01/07
Facet Joint Denervation 01/04/19 06/11/18 06/11/18
Fetal Fibronectin 11/09/16 11/09/16 11/09/16
Foot Care Services 03/14/18 06/07/13 06/07/13
Fundus Photography 07/03/19 08/15/19 08/15/19
Gastric Electrical Stimulation 05/08/19 12/02/13 12/02/13
Gene Expression-Based Assays for Cancers of Unknown Primary 07/01/19 01/01/16 01/01/16
Gene Expression Profiling and Protein Biomarkers for Prostate Cancer Management 02/14/20 04/15/19 04/15/19
Gene Expression Profiling for Cutaneous Melanoma 07/01/19 07/23/18 07/23/18
Gene Expression Profiling for Uveal Melanoma 02/14/20 03/15/17 03/15/17
General Approach to Evaluating the Utility of Genetic Panels 10/01/17 03/25/16 03/25/16
General Approach to Genetic Testing 12/29/16 03/25/16 03/25/16
Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer 10/04/19 02/27/19 02/27/19
Genetic Cancer Susceptibility Panels Using Next Generation Sequencing 07/01/19 02/07/14 02/07/14
Genetic Testing for Cardiac Ion Channelopathies 12/29/16 03/31/14 03/31/14
Genetic Testing for Lynch Syndrome and Other Inherited Colon Cancer Syndromes 07/09/20 04/24/19 04/24/19
Genetic Testing for Marfan Syndrome, Thoracic Aortic Aneurysms and Dissections, and Related Disorders 04/24/19 04/24/19 04/24/19
Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy 04/24/19 05/11/18 05/11/18
Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies 04/10/19 02/15/18 02/15/18
Genetic Testing for Warfarin Dose 09/01/17 10/26/10 11/29/10
Genotype-Guided Tamoxifen Treatment 01/17/20 11/09/16 11/09/16
High-Sensitivity C-Reactive Protein 12/01/16 01/30/12 01/30/12
Home Prothrombin Time Monitoring 12/01/16 09/18/09 10/19/09
Homocysteine Testing 07/01/19 07/01/19 07/01/19
Human Growth Hormone 01/17/20 01/01/20 01/01/20
Hydrogel Spacer use During Radiotherapy for Prostate Cancer 04/08/20 04/08/20 04/08/20
Hyperbaric Oxygen Therapy (HBOT) 10/04/19 04/26/19 04/26/19
Identification of Microorganisms Using Nucleic Acid Testing 07/17/20 06/25/20 06/25/20
Implantable Bone-Conduction and Bone-Anchored Hearing Aids 03/27/19 03/01/18 03/01/18
Implantable Cardioverter Defibrillators 07/03/19 07/11/17 07/11/17
Implanted Peripheral Nerve Stimulator (PNS) for Pain Control 04/24/19 04/01/16 04/01/16
Influenza Virus Diagnostic Testing and Treatment in the Outpatient Setting 03/19/20 03/01/20 03/01/20
Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence 02/14/20 03/13/20 03/13/20
Insulin Pump 02/14/20 03/31/16 N/A
Intensity Modulated Radiotherapy (IMRT) 06/12/20 06/12/20 06/12/20
Interspinous and Interlaminar Stabilization / Distraction Devices (Spacers) 05/18/20 02/01/19 02/01/19
Interspinous Fixation (Fusion) Devices 06/05/19 01/23/15 01/23/15
Intra-Articular Hyaluronan Injections for Osteoarthritis 10/04/19 07/22/16 07/22/16
Intravenous and Subcutaneous Immune Globulin Therapy 11/07/18 08/20/15 08/20/15
Intravenous Antibiotic Therapy and Associated Diagnostic Testing for Lyme Disease 11/20/18 02/01/17 02/01/17
In Vitro Chemoresistance and Chemosensitivity Assays 08/28/19 09/12/18 09/12/18
Keratoprosthesis 09/25/19 10/25/19 10/25/19
KIF6 Genotyping for Predicting Cardiovascular Risk and/or Effectiveness of Statin Therapy 09/25/19 03/10/11 04/11/11
KRAS, NRAS, and BRAF Variant Analysis in Metastatic Colorectal Cancer 10/04/19 09/27/19 09/27/19
Laboratory Tests for Heart and Kidney Transplant Rejection 05/18/20 12/20/18 12/20/18
LASIK (laser assisted in situ keratomileusis) 06/08/16 02/15/07 12/01/07
Low-Level Laser Therapy 08/14/19 11/12/18 11/12/18
Lumbar Spinal Fusion 08/28/19 08/15/18 08/15/18
Lysis of Epidural Adhesions 01/16/19 02/08/10 02/08/10
Magnetic Resonance Imaging (MRI) of the Breast 05/22/20 07/08/15 07/08/15
Magnetic Resonance Spectroscopy 05/18/20 02/14/05 07/16/09
Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Respiratory Disorders 09/25/19 03/13/19 03/13/19
Measurement of Lipoprotein-Associated Phospholipase A2 in the Assessment of Cardiovascular Risk 03/13/19 03/13/09 03/13/09
Measurement of Serum Antibodies to Infliximab and Adalimumab 02/14/20 01/23/15 01/23/15
Meniscal Allografts and Other Meniscus Implants 08/28/19 08/28/19 08/28/19
Microwave Tumor Ablation 05/18/20 05/18/20 05/18/20
Miscellaneous Genetic and Molecular Diagnostic Tests 08/28/19 10/12/18 10/12/18
Molecular Analysis for Targeted Therapy of Non-Small-Cell Lung Cancer 01/04/19 02/01/19 02/01/19
Molecular Markers in Fine Needle Aspirates of the Thyroid 08/28/19 08/28/19 08/28/19
Molecular Testing for the Management of Pancreatic Cysts or Barrett’s Esophagus 10/04/19 12/20/18 12/20/18
Monitored Anesthesia Care 10/01/18 01/01/17 01/01/17
Multigene Expression Assay for Predicting Recurrence in Colon Cancer 10/01/18 03/04/16 03/04/16
Myocardial Strain Imaging 05/18/20 05/18/20 05/18/20
Non-invasive Positive Pressure Ventilation for Patients with Chronic Obstructive Pulmonary Disease (COPD) 09/25/19 10/25/19 10/25/19
Noninvasive Prenatal Screening for Fetal Aneuploidies and Microdeletions Using Cell-Free Fetal DNA 10/30/19 10/01/18 10/01/18
Noninvasive Techniques for the Evaluation and Monitoring of Patients with Chronic Liver Disease 03/13/19 03/13/19 03/13/19
Novel Biomarkers in Risk Assessment and Management of Cardiovascular Disease 03/13/19 03/28/18 03/28/18
Off-Label, Approved Orphan, and Expanded Access (Compassionate Use) Drugs 05/10/17 12/07/15 12/07/15
Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures) 10/04/19 08/08/18 08/08/18
Optical Coherence Tomography (OCT) of the Anterior Eye Segment 04/24/19 12/03/18 12/03/18
Orthopedic Applications of Platelet-Rich Plasma 05/21/19 10/29/15 10/29/15
Orthopedic Applications of Stem-Cell Therapy 02/18/19 02/18/19 02/18/19
Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Disorders 07/17/19 08/17/18 08/17/18
Outpatient Pulmonary Rehabilitation 10/04/19 07/20/16 07/20/16
Pachymetry 01/16/19 08/19/15 08/19/15
Panniculectomy and Abdominoplasty 02/18/19 03/07/11 03/07/11
Percutaneous Balloon Kyphoplasty, Radiofrequency Kyphoplasty, and Mechanical Vertebral Augmentation 05/21/19 10/28/17 10/28/17
Percutaneous Intradiscal Electrothermal Annuloplasty, Radiofrequency Annuloplasty, and Biacuplasty 07/17/19 02/15/17 02/15/17
Percutaneous Left Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation 10/04/19 08/08/18 08/08/18
Percutaneous Vertebroplasty and Sacroplasty 05/21/19 01/19/18 01/19/18
Periureteral Bulking Agents as a Treatment of Vesicoureteral Reflux (VUR) 10/01/18 08/17/10 09/16/10
Pharmacogenomic and Metabolite Markers for Patients Treated with Thiopurines 04/10/19 11/05/15 11/05/15
Photodynamic Therapy for Choroidal Neovascularization 04/24/19 07/01/17 07/01/17
Plugs for Anal Fistula Repair 02/27/19 12/14/15 12/14/15
Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers (for Home Use) 07/01/19 04/28/17 04/28/17
Positron Emission Tomography (PET) Scanning: Cardiac Applications 05/18/20 11/26/18 11/26/18
Positron Emission Tomography (PET) Scanning: In Oncology to Detect Early Response During Treatment 06/12/20 11/26/18 11/26/18
Positron Emission Tomography (PET) Scanning: Miscellaneous (Non-cardiac, Non-Oncologic) Applications of Fluorine 18 Fluorodeoxyglucose 06/12/20 11/26/18 11/26/18
Positron Emission Tomography (PET) Scanning: Oncologic Applications 06/12/20 02/18/19 02/18/19
Posterior Tibial Nerve Stimulation 10/01/18 08/08/18 08/08/18
Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis 04/24/19 12/01/16 12/01/16
Progesterone Therapy as a Technique to Reduce Preterm Birth in High-Risk Pregnancies 09/25/19 11/07/18 11/07/18
Prostatic Urethral Lift 11/07/18 11/07/18 11/07/18
Proteomic Testing for Systemic Therapy in Non-Small-Cell Lung Cancer 01/04/19 10/01/15 10/01/15
Radioembolization for Primary and Metastatic Tumors of the Liver 01/17/20 03/10/16 03/10/16
Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors 11/07/18 12/07/18 12/07/18
Radiofrequency Ablation of Primary or Metastatic Liver Tumors 09/01/16 10/01/16 10/01/16
Real-Time Intrafraction Motion Management During Radiotherapy 01/30/19 03/01/19 03/01/19
Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non‒Orthopedic Conditions 04/10/19 03/01/18 03/01/18
Reduction Mammaplasty for Breast-Related Symptoms 03/27/19 01/20/17 01/20/17
Risk-Reducing Mastectomy 08/28/19 10/28/17 10/28/17
Sacral Nerve Neuromodulation / Stimulation 06/05/19 02/15/17 02/15/17
Scanning Computerized Ophthalmic Diagnostic Imaging Devices 08/28/19 09/27/19 09/27/19
Scintimammography and Gamma Imaging of the Breast and Axilla 05/22/20 10/26/16 10/26/16
Screening for Lung Cancer Using CT Scanning 01/16/19 02/18/19 02/18/19
Sensorimotor and Neurobehavioral Status Exams for Optometric Providers 04/24/19 01/01/06 N/A
Serologic Diagnosis of Celiac Disease 03/01/18 03/28/12 03/28/12
Serum Antibodies for the Diagnosis of Inflammatory Bowel Disease 02/01/17 03/28/11 03/28/11
Serum Tumor Markers for Breast Malignancies 04/24/19 03/18/15 03/18/15
Sex Reassignment Surgery 12/20/16 01/01/17 01/01/17
Site of Care Infusion Management 05/18/20 01/01/20 01/01/20
Small Bowel/Liver and Multivisceral Transplant 11/07/18 11/13/17 11/13/17
Sphenopalatine Ganglion Block for Headache 01/04/19 11/13/17 11/13/17
Spinal Cord and Dorsal Root Ganglion Stimulation 08/28/19 08/28/19 08/28/19
Stereotactic Radiosurgery and Stereotactic Body Radiotherapy 03/27/19 03/27/19 03/27/19
Surgical Deactivation of Headache Trigger Sites 02/14/20 12/11/14 12/11/14
Surgical Treatment of Femoroacetabular Impingement 06/19/19 05/24/17 05/24/17
Surgical Treatment of Gynecomastia 10/04/19 03/15/12 03/15/12
Surgical Treatment of Snoring and Obstructive Sleep Apnea (OSA) Syndrome 08/14/19 09/13/19 09/13/19
Temporomandibular Joint (TMJ) Disorder 08/14/19 08/14/19 08/14/19
Testing for Vitamin D Deficiency 02/01/19 06/10/16 06/10/16
Total Ankle Replacement 04/10/19 06/29/10 07/29/10
Total Artificial Hearts and Ventricular Assist Devices 01/01/19 03/29/17 03/29/17
Transcatheter Aortic Valve Implantation for Aortic Stenosis 03/27/19 06/06/18 06/06/18
Transcatheter Arterial Chemoembolization (TACE) to Treat Primary or Metastatic Liver Malignancies 01/17/20 09/14/17 09/14/17
Transcranial Magnetic Stimulation (TMS) 05/22/20 05/22/20 05/22/20
Transesophageal Endoscopic Therapies for Gastroesophageal Reflux Disease 04/24/19 07/21/15 07/21/15
Translarna (ataluren) 07/01/19 10/06/17 10/06/17
Transtympanic Micropressure Applications as a Treatment of Meniere's Disease 04/10/19 05/15/19 05/15/19
Treatment of Hyperhidrosis 12/13/16 12/13/16 12/13/16
Treatment of Tinnitus 07/01/19 08/01/19 08/01/19
Tumor Treating Fields Therapy 08/28/19 09/27/19 09/27/19
Ultrafiltration in Heart Failure 08/28/19 09/03/14 09/03/14
Ultrasound Accelerated Fracture Healing Device 04/24/19 03/01/18 03/01/18
Ultraviolet Light Therapy for Skin Conditions 02/01/19 02/04/15 02/04/15
Vacuum Assisted Wound Closure (VAC) 07/17/20 06/23/17 06/23/17
Vagus Nerve Stimulation 07/01/19 12/21/17 12/21/17
Varicose Veins 08/14/19 09/13/19 09/13/19
Video EEG Monitoring 02/14/20 02/20/14 02/20/14
Virtual Colonoscopy / CT Colonography 05/22/20 05/22/20 05/22/20
Wearable Cardioverter Defibrillators 06/19/19 08/04/16 08/04/16
Wireless Capsule Endoscopy to Diagnose Disorders of the Small Bowel, Esophagus, and Colon 01/04/19 01/04/19 01/04/19

Dental Policies

An Availity login is required to access the dental policies.

Policy Title PDF Files Date Posted Professional Effective Date Institutional Effective Date
Cone Beam Computed Tomography (CBCT) 07/03/19 05/14/13 05/14/13
Periodontal Soft Tissue Grafting 01/16/19 06/27/11 06/27/11
Temporomandibular Joint (TMJ) Disorder 08/14/19 08/14/19 08/14/19

Archived Policies

No review or update is scheduled on these Medical Policies. If there are questions about coverage of this service, please contact Blue Cross and Blue Shield of Kansas customer service, your professional or institutional relations representative, or submit a predetermination request.

Policy Title PDF Files Date Posted Archived Date
Actigraphy 08/14/19 08/14/19
Acute and Maintenance Tocolysis 11/07/18 11/07/18
Axial Lumbosacral Interbody Fusion 01/01/19 08/24/18
Cardiovascular Magnetic Resonance (CMR) 07/03/19 07/03/19
Identification of Periodontal Microorganisms (dental policy, Availity login required) 10/01/18 10/01/18
Image-Guided Minimally Invasive Decompression for Spinal Stenosis 06/11/19 06/11/19
Subtalar Arthroereisis 06/11/19 06/11/19
Total Facet Arthroplasty 06/11/19 06/11/19
Ultrasonographic Measurement of Carotid Intima-Medial Thickness as an Assessment of Subclinical Atherosclerosis 08/14/19 08/14/19