ND Committee Review
Internal Medical Policy Committee 9-21-2022 -
Effective August 18, 2022
- Adopted
new precertification policy
Internal Medical Policy Committee 9-28-2022 -
Effective October 1, 2022
- Added
another 'or' criteria for individuals less than
five (5)
years of age, 'The individual has required greater than or equal to eight (8) pRBC transfusions in the past 12 months;'
Internal Medical Policy Committee 9-12-2023 Annual review, no clinical content change
Internal Medical Policy Committee 5-14-2024
Effective July 01, 2024
- Added
new code, J3393, to the policy
Internal Medical Policy Committee 11-19-2024
Effective December 08, 2024