by dlamm | Aug 17, 2023 | Current
Link to PDF Status: Reaffirmed Effective Date: 11/07/2021 Doc ID: RAD04-1121.1-R0723 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by dlamm | Aug 17, 2023 | Current
Link to PDF Status: Reaffirmed Effective Date: 03/13/2022 Doc ID: RAD01-0322.1-R0723 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by dlamm | Aug 17, 2023 | Current
Link to PDF Status: Reaffirmed Effective Date: 11/06/2022 Doc ID: RAD03-1122.2-R0723 Last Review Date: 07/18/2023 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...
by dlamm | Jun 18, 2023 | Current
Link to PDF Status: Reaffirmed/Updated Effective Date: 06/18/2023 Doc ID: CAR04-0623.2-R0723-U0124 Last Review Date: 07/18/2023, 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more...
by dlamm | Apr 9, 2023 | Archived
CLICK HERE TO ACCESS PDF VERSION Archive Date: 04/09/2023 This document has been archived because it has outdated information. It is for historical information only and should not be consulted for clinical use. Current versions of guidelines are available on the...
