ND Committee Review
Internal Medical Policy Committee 1-22-2020 New Policy for North Dakota
Internal Medical Policy Committee 3-16-2020 Added new code C9053, added additional diagnosis codes
Internal Medical Policy Committee 7-22-2020 Removed C9053, added new code, J0791 effective 7-1-2020
Internal Medical Policy Committee 9-21-2020 Updated diagnosis codes
Internal Medical Policy Committee 11-19-2020 No clinical content change
Internal Medical Policy Committee 3-17-2021 Annual review, no clinical content change
Internal Medical Policy Committee 3-23-2022 Annual review-no changes in criteria