ND Committee Review
Internal Medical Policy Committee 1-19-2021 Adopted new pre-certification policy - Effective January 15, 2021
Internal Medical Policy Committee 3-17-2021 - Effective April 1, 2021
- Added new code C9074 to policy
Internal Medical Policy Committee 7-22-2021 - Effective July 1, 2021
- Removed code C9074 from policy; and
- Added new code J0224
Internal Medical Policy Committee 7-21-2022 Annual review, no clinical content change
Internal Medical Policy Committee 11-29-2022
- Added criteria "Plasma oxalate (POx) greater than the upper limit of normal"; and
- Updated experimental/investigational statement
Internal Medical Policy Committee 11-15-2023 Annual review, no clinical content change