ND Committee Review
Internal Medical Policy Committee 5-19-2020 Removed PSA and codes due to ND Mandate
Internal Medical Policy Committee 9-21-2020 ND adding indication for CA-125 for individuals with BRCA mutation to screen for ovarian cancer
Internal Medical Policy Committee 5-20-2021 Coding update-Removed Z80.41, Added C56.1; C56.2; C56.9
Internal Medical Policy Committee 7-22-2021 Coding update-Added C45.1, C48.0, C48.1, C48.2, C48.8, C51.8, C53.0, C54.1, C54.2, C54.3, C54.9, C56.1, C56.2, C56.9, C57.00, C57.01, C57.02, C57.4, C57.7, C57.8, and C78.6 covered under procedure code 86304; Removed procedure code 86849 throughout policy
Internal Medical Policy Committee 9-21-2021 Updating wording and Added diagnosis codes C56.3; C76.0; C79.63 and Z12.71