ND Committee Review
Internal Medical Policy Committee 11-14-2019 No HMK update since 2016
Internal Medical Policy Committee 11-19-2020 Annual Review
Internal Medical Policy Committee 11-23-2021 Annual Review-no changes in criteria
Internal Medical Policy Committee 11-29-2022 Revision with coding update-
Effective January 02, 2023
- Added
diagnosis codes C57.00; C57.01; C57.02; C57.10; C57.11; C7.12; C57.20; C57.22; C57.3; C57.4; C57.7; C57.8; C57.9; C79.60; C79.61; and C79.62.
Internal Medical Policy Committee 3-23-2023 Annual Review-no changes in criteria
Internal Medical Policy Committee 1-16-2024 Coding update -
Effective January 01, 2024
- Added
procedure codes 96547 and 96548.
Internal Medical Policy Committee 1-14-2025 Annual Review - no changes in criteria