ND Committee Review
Internal Medical Policy Committee 11-19-2020 Adopt policy,
- Changed policy numbering (previously policy number I-9008)
Internal Medical Policy Committee 1-19-2021
- Added new code C9071 effective 1-1-2021
Internal Medical Policy Committee 3-17-2021- Effective April 01, 2021
- Removed code C9071, and
- Added new code J1427
Internal Medical Policy Committee 3-23-2022 Annual Review - no changes in criteria
Internal Medical Policy Committee 3-23-2023 Annual review, no clinical content change
Internal Medical Policy Committee 3-19-2024 Annual review, no clinical content change