ND Committee Review
Internal Medical Policy Committee 7-22-2020 Adding Diagnosis codes
Internal Medical Policy Committee 7-22-2021 Annual Review
Internal Medical Policy Committee 9-21-2021 Revision of policy with coding update:
- Removed diagnosis codes: E08.43; E09.43; E10.43; E11.43; E13.43.
- Added diagnosis codes T85.518A; T85.518D; T85.518S; T85.528A; T85.528D; T85.528S; T85.598A; T85.598D; T85.598S
Internal Medical Policy Committee 9-28-2022 Annual Review-no changes in criteria
Internal Medical Policy Committee 5-23-2023 Annual Review-no changes in criteria
Internal Medical Policy Committee 7-26-2023 Coding update
- Added procedure code C9787