Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Somatic Tumor Testing 2025-03-23 updated 04-01

Link to PDF Status: Updated codes 04/01/2025 Effective Date: 03/23/2025 Doc ID: GEN02-0325.1-UC0425 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...

Small Joint Surgery 2024-11-17

Link to PDF Status: Revised Effective Date: 11/17/2024 Doc ID: MSK06-1124.1 Last Review Date: 04/15/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...