Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Radiation Therapy for Non-Malignant Disease 2026-04-04

Link to PDF Status: Created Effective Date: 04/04/2026 Doc ID: RAD05-0426.1 Last Review Date: 07/17/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Hereditary Cancer Testing 2026-04-04

Link to PDF Status: Revised Effective Date: 04/04/2026 Doc ID: GEN01-0426.1 Last Review Date: 07/17/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Chromosomal Microarray Analysis 2025-07-26 updated 2026-01-01

Link to PDF Status: Updated codes 01/01/2026 Effective Date: 07/26/2025 Doc ID: GEN07-0725.1-UC0126 Last Review Date: 10/28/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Hereditary Cancer Testing 2025-03-23 updated 2026-01-01

Link to PDF Status: Updated codes 01/01/2026 Effective Date: 03/23/2025 Doc ID: GEN01-0325.1-UC0126 Last Review Date: 01/30/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...