BlueCross BlueShield of Tennessee Medical Policy Manual

Physical Medicine

• Aquatic Therapy

• Cognitive Rehabilitation

• Cooling Devices Used in the Outpatient Setting

• Craniosacral Therapy

• Hippotherapy

• Interferential Current Stimulation for the Treatment of Pain

• Iontophoresis for Medical Indications

• Mechanical Stretch Devices for the Treatment of Joint Stiffness

• Mechanized Axial Spinal Distraction Therapy Devices

• Neuromuscular Reeducation

• Phonophoresis for Medical Indications

• Piezoelectric Sensor Analysis and Oscillating Force Delivered Vertebral Adjustment in the Evaluation and Treatment of the Spinal Column

• Speech / Language Therapy, Occupational Therapy and Physical Therapy for Autism

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