Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Spine Surgery 2025-11-15 updated 2026-01-01

Link to PDF Status: Updated codes 01/01/2026 Effective Date: 11/15/2025 Doc ID: MSK03-1125.1-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...

Pharmacogenetic Testing 2025-11-15 updated 2026-01-01

Link to PDF Status: Updated codes 01/01/2026 Effective Date: 11/15/2025 Doc ID: GEN09-1125.2-UC0126 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...

Somatic Tumor Testing 2025-11-15 updated 2026-01-01

Status: Updated codes 01/01/2026 Effective Date: 11/15/2025 Doc ID: GEN02-1125.3-UC0126 Last Review Date: 04/21/2025 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...