ND Committee Review
Internal Medical Policy Committee 9-26-2019 New Policy for ND
Internal Medical Policy Committee 5-19-2020
Effective July 1, 2020
- Added
Application codes 15271; through 15278;
and
- Coding- HCPCS Update
Internal Medical Policy Committee 9-21-2020 Coding update:
- Added
Procedure Codes Q4249; Q4250; Q4254; Q4255;
and
- Added
Covered Diagnosis Codes for Procedure Codes: 65779; Q4100 and V2790
- H18.501; H18.502; H18.503; H18.509; H18.511; H18.512; H18.513; H18.519; H18.521; H18.522; H18.523; H18.529; H18.531; H18.532; H18.533; H18.539; H18.541; H18.542; H18.543; H18.549; H18.551; H18.552; H18.553; H18.559; H18.591; H18.592; H18.593; and H18.599
Internal Medical Policy Committee 1-19-2021
- Added
Diagnosis Codes;
and
- Expanded
medically necessary criteria;
and
- Prokera®, AmbioDisk were E/I prior, now have criteria.
Internal Medical Policy Committee 9-21-2021- Coding update
- Removed
Q4228; Q4236;
and
- Added
Procedure Codes Q4251; Q4252; and Q4253.
Internal Medical Policy Committee 11-23-2021 Revision update in criteria
Internal Medical Policy Committee 7-21-2022 Coding update -
Effective July 01, 2022
- Added
Procedure Codes Q4259; Q4260; and Q4261.
Internal Medical Policy Committee 11-29-2022 Coding update -
Effective January 01, 2023
- Added
Procedure Codes Q4236; Q4262; Q4263; and Q4264.
Internal Medical Policy Committee 3-23-2023 Coding update -
Effective April 01, 2023
- Added
new Procedure Codes Q4265; Q4266; Q4267; Q4268; Q4269; Q4270; and Q4271.
Internal Medical Policy Committee 7-26-2023 Codingupdate -Effective July 01, 2023
- Added
Procedure Codes Q4272; Q4273; Q4274; Q4275; Q4276; Q4277; Q4278; Q4280; Q4281; Q4282; Q4283; Q4284.
InternalMedical Policy Committee 11-15-2023 Codingupdate -Effective October 01, 2023
- Added
Procedure Codes A2022; A2023; Q4285; and Q4286.
InternalMedical Policy Committee 1-16-2024 Coding update -Effective January 01, 2024
- Added
new Procedure Codes: Q4279; Q4287; Q4288; Q4289; Q4290; Q4291; Q4292; Q4293; Q4294; Q4295; Q4296; Q4297; Q4298; Q4299; Q4300; Q4301; Q4302; Q4303; and Q4304.
Internal Medical Policy Committee 3-19-2024 Coding update-
Effective April 01, 2024
- Removed
Procedure Code Q4244;
and
- Added
Procedure Codes Q4305; Q4306; Q4307; Q4308; Q4309; and Q4310;
and
- Added
Policy Application
Internal Medical Policy Committee 7-16-2024 Coding Update-
Effective July 01, 2024
- Updated
Policy Application;
and
- Added
new Procedure Codes Q4311; Q4312; Q4313; Q4314; Q4315; Q4316; Q4317; Q4318; Q4319; Q4320; Q4321; Q4322; Q4323; Q4324; Q4325; Q4326; Q4327; Q4328; Q4329; Q4330; Q4331; Q4332; & Q4333;
and
- Removed
Procedure Codes Q4210; & Q4277.
Internal Medical Policy Committee 9-17-2024
-
Coding update -
Effective October 01, 2024
- Added
Procedure Codes Q4334; Q4335; Q4336; Q4337; Q4338; Q4339; Q4340; Q4341; Q4342; Q4343; Q4344; and Q4345;
and
- Updated
Policy Applications
-
Revision w/coding -
Effective November 04, 2024
- Added
Diagnosis Codes H16.231; H16.232; H16.233 for Procedure Code 65778
Internal Medical Policy Committee 1-14-2025 Coding - New codes -
Effective January 01, 2025
- Added
Procedure Codes Q4346; Q4347; Q4348; Q4349; Q4350; Q4351; Q4352; & Q4353
Internal Medical Policy Committee 5-13-2025 Coding update -
Effective April 01, 2025
- Removed
Procedure Code Q4231;
and
- Added
Procedure Codes A2035; Q4354; Q4355; Q4356; Q4357; Q4358; Q4359; Q4360; Q4361; Q4362; Q4363; Q4364; Q4365; Q4366; and Q4367
Internal Medical Policy Committee 9-7-2025
- AddedProcedure Codes Q4368; Q4369; Q4372; Q4373; Q4375; Q4376; Q4377; Q4378; Q4379; Q4380; Q4382