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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Non-Covered Health Choice Policies

Effective July 1, 2010, the NC Health Choice program will not cover the following medical coverage policies. For NC Health Choice policy coverage criteria please refer to the NC Health Choice policy index.

Adoptive Immunotherapy
Adrenal-to-Brain Transplantation
Ambulatory Blood Pressure Monitoring
Analysis Of Proteomic Patterns In Serum To Identify Ovarian Cancer
Androstanediol Glucuronide Test For Hirsutism
Angelchik Anti-Reflux Prosthesis
Artificial Intervertebral Disc
Autologous Cell Therapy For The Treatment Of Damaged Myocardium
Automated Nerve Conduction Tests
Back School
Balloon Sinuplasty For Treatment Of Chronic Sinusitis
Bionicare Stimulator
Brachytherapy, Intracavitary Balloon Catheter For Brain Cancer
Breast Duct Endoscopy
Carotid Intimal-Medial Thickness Study
Cerebral Angioplasty
Cerebellar Stimulator Pacemaker
Cerviography
Cognitive Rehabilitation
Collagen Cross Links As Markers Of Bone Turnover
Complementary and Alternative Medicine
Computed Tomography To Detect Coronary Artery Calcification
Computer-Aided Detection Of Malignancy With MRI Of The Breast
Computer-Assisted Surgical Navigational Orthopedic Procedures
Convection-Enhanced Delivery Of Therapeutic Agents To The Brain
Corneal Topography
Correlated Audioelectric Cardiography
Cryosurgical Ablation Of Solid Tumors Of The Breast Or Pancreas
CT Perfusion Imaging
Dermatoscopy
Detection Of Circulating Tumor Cells
Dynamic Posturography
Electrical Impedance Scanning Of The Breast
Electrical Stimulators, Neuromuscular
Electrogastrography, Cutaneous
Electrothermal Arthroscopic Capsulorrhaphy
Epithelial Cell Cytology And Breast Cancer Risk Assessment
Exhaled Nitric Oxide Measurement
External Defibrillators
Extracorporeal Shock Wave Treatment For Musculoskeletal Conditions
Fecal Analysis In The Diagnosis Of Intestinal Dysbiosis
Fetal Mesencephalic Transplantation For The Treatment Of Parkinson's Disease
Gastric Electrical Stimulation
Gastroesophageal Reflux Disease, Transendoscopic Therapies
Hormone Pellet Implantation For Hormone Replacement Therapy In Women
H-Wave Electrical Stimulation
Hyperthermic Intraperitoneal Chemotherapy
Idiopathic Environmental Intolerance
Implantation of Intrastromal Corneal Ring Segments
In Vitro Chemoresistance And Chemosensitivity Assays
Inflammatory Bowel Disease (IBD) Serology
Infrared Heating Pad System In The Home Setting
Insulin Potentiation Therapy
Insulin Therapy, Chronic Intermittent Intravenous
Interferential Stimulation
Intravenous Histamine Therapy
Kappa Lambda Clonal Excess
Keratoprosthesis
Laboratory Tests For Heart Transplant Rejection
Lipoprotein-Associated Phospholipase A2
Liss Body Stimulator
Lung Cancer Screening, CT Scanning Or Chest Radiographs
Macular Drusen, Photocoagulation
Magnetic Resonance Spectroscopy
Microarray-Based Gene Expression Testing For Cancers Of Unknown Primary
MRI-Guided High Intensity Ultrasound Ablation Of Uterine Fibroids
Myolysis Of Uterine Fibroids
Myotherapy
Natural Killer Cell Assay For Habitual Spontaneous Abortions
Non-Contact Ultrasound Therapy For Wounds
Non Invasive Measurements Of Left Ventricular End Diastolic Pressure
Ocular Photoscreening
Ovarian And Internal Iliac Vein Embolization
Paraspinal Surface Electromyography
Paternal Or Fetal Antigen Immunotherapy For Recurrent Fetal Loss
Pathfinder TG Molecular Testing
Pelvic Floor Stimulation As A Treatment Of Urinary Incontinence
Percutaneous Axial Anterior Lumbar Fusion
Percutaneous Electrical Nerve Stimulation (PENS) Or Neuromodulation Therapy
Positional Magnetic Resonance Imaging (MRI)
Posterior Tibial Nerve Stimulation For Voiding Dysfunction
Prolotherapy
Quantitative Sensory Testing
RACZ Neurolysis
Radiofrequency Ablation Of Pulmonary Tumors
Radiofrequency Tissue Remodeling For Urinary Stress Incontinence
Rapid Opioid Detoxification
Rhinomanometry And Acoustic Rhinometry
Screening for Vertebral Fracture with Dual X-Ray Absorptiometry (DEXA)
Sensory Integration Therapy
Sensory Stimulation For Coma Patients
Signal Averaged ECG
Spinal Manipulation Under Anesthesia
Spinal Surgery Using Interspinous Distraction Technology
Suprachoroidal Delivery Of Pharmacologic Agents
Surgical Interruption Of Pelvic Nerve Pathways For Dysmenorrhea
Thermography
Thoroscopic Laser Ablation Of Emphysematous Pulmonary Bullae
Tinnitus Treatment
Topical Hyperbaric Oxygen Therapy
Topographic Brain Mapping
Transanal Endoscopic Microsurgery (TEMS)
Transcranial Magnetic Stimulation
Transtympanic Micropressure Applications As A Treatment Of Meniere's Disease
Tumor Vaccines
Ultrasonic Evaluation Of Skin Lesions
Vertebral Axial Decompression (VAX-D)
Whole Body Computed Tomography Scan As A Screening Device
Wound Therapy, Noncontact Radiant Heat Bandage

 

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