ND Committee Review
Internal Medical Policy Committee 9-21-2020 Coding update:
- Removed
J84.17;
and
- Added
J84.170; J84.178; and S9473.
Internal Medical Policy Committee 11-19-2020 Revision-
- Removed
section for indications for PR courses or programs are considered not medically necessary.
Internal Medical Policy Committee 1-19-2021 Coding update-
- Removed
S8990;
and
- Added
procedure code 99417;
and
- Added
Statement: Pulmonary Rehabilitation is a covered service for post COVID19;
- Changed
verbiage.
Internal Medical Policy Committee 5-20-2021 Coding update
- Added
diagnosis codes J12.82; U07.1; and Z86.16.
Internal Medical Policy Committee 7-22-2021 Revision
- Added
for up to 18 sessions to PR program length.
Internal Medical Policy Committee 11-23-2021 Coding Update-
Effective January 01,2022
- Added
procedure codes: 94625; 94626,
and
- Removed
G0424
Internal Medical Policy Committee 5-24-2022
- Updated
with clarifying language;
and
- Added
diagnosis code U09.9.
Internal Medical Policy Committee 11-15-2023 Coding Update
-
Effective October 01, 2023
- Added
diagnosis code J44.89
Internal Medical Policy Committee 5-14-2024 Revision -
Effective July 01, 2024
- Added
Professional Statements and Societal Positions Guidelines
Internal Medical Policy Committee 5-13-2025 Annual review-no changes in criteria