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|For Blue Cross of Idaho`s definition of medically necessary and investigational, please click here.|
|4.01.09||Home Uterine Activity Monitoring|
|4.01.10||Fetal Surgery for Prenatally Diagnosed Malformations|
|4.01.11||Occlusion of Uterine Arteries Using Transcatheter Embolization|
|4.01.14||First-Trimester Detection of Down Syndrome Using Fetal Ultrasound Markers Combined with Maternal Serum Assessment|
|4.01.16||Progesterone Therapy as a Technique to Reduce Preterm Birth in High-Risk Pregnancies|
|4.01.17||Surgical Interruption of Pelvic Nerve Pathways for Primary and Secondary Dysmenorrhea|
|4.01.18||Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome|
|4.01.19||Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids|
|4.02.02||Paternal or Fetal Antigen Immunotherapy for Recurrent Fetal Loss|
|4.02.05||Preimplantation Genetic Testing|
|4.02.10||Genetic Testing for Recurrent Pregnancy Loss|