Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Chromosomal Microarray Analysis 2024-10-20 updated 2025-01-01

Link to PDF Status: Updated codes 01/01/2025 Effective Date: 10/20/2024 Doc ID: GEN07-1024.1-UC0125 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...

Sacroiliac Joint Fusion 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: MSK05-1020.3 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical Appropriateness...

Pharmacogenomic Testing 2024-10-20 updated 2025-01-01

Link to PDF Status: Updated codes 01/01/2025 Effective Date: 10/20/2024 Doc ID: GEN09-1024.1-UC0125 Last Review Date: 01/23/2024 Approval and implementation dates for specific health plans may vary. Please consult the applicable health plan for more details. Clinical...