ND Committee Review
Internal Medical Policy Committee 1-22-2020-
Effective December 13, 2019
- Adopted
new experimental/investigational policy
Internal Medical Policy Committee 7-22-2020
- Removed
not otherwise classified codes from policy,
- Added
procedure code J1429
Internal Medical Policy Committee 11-19-2020 Annual review, no clinical content change
Internal Medical Policy Committee 11-23-2021 Annual review, no clinical content change
Internal Medical Policy Committee 3-23-2022 No clinical content change
Internal Medical Policy Committee 3-23-2023 Annual review, no clinical content change
Internal Medical Policy Committee 3-19-2024
Effective May 01, 2024
- Annual review
no clinical content change
Internal Medical Policy Committee 11-19-2024
Effective December 08, 2024