ND Committee Review
Internal Medical Policy Committee 1-22-2020 Coding update
- Added new codes Z91.030 & Z91.038 (bee & insect bites)
Internal Medical Policy Committee 8-10-2020
- Added Statement under Food Allergy except for FDA recommended medications (clarification statement).
Internal Medical Policy Committee 9-21-2020 Coding update
- Removed Diagnosis code J82; and
- Added J82.81; J82.82 and J82.89
Internal Medical Policy Committee 9-28-2022 Revision with Coding update
- Removed Procedure code 95199
- Updated with clarifying language
Internal Medical Policy Committee 3-23-2023 Coding Update- Effective May 01, 2023
- Removed Diagnosis code Z51.89
Internal Medical Policy Committee 5-23-2023 Coding Update -Effective May 4, 2023
- Added procedure code 95199
Internal Medical Policy Committee 3-19-2024-Annual Review-no changes in criteria
Internal Medical Policy Committee 5-14-2024 Revision -Effective July 1, 2024
- Added Policy Application
- Added QLL of 150 doses/units per benefit period for the first year, including the build-up phase
- Changed 120 doses/units per benefit period to 120 doses/units per benefit period after the first year as maintenance therapy.