Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Sacroiliac Joint Fusion 2024-10-20 updated 2025-01-01

Link to PDF Status: Updated codes 01/01/2025 Effective Date: 10/20/2024 Doc ID: MSK05-1020.3-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...

Diagnostic Coronary Angiography 2023-04-01 updated 2024-11-17

Link to PDF Status: Updated codes 11/17/2024 Effective Date: 04/01/2023 Doc ID: CAR03-0423.1-UC1124 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...

ARCHIVED Polygenic Risk Scores 2024-01-01 to 2024-10-19

Link to PDF Archive Date: 10/20/2024 This document has been archived because it has outdated information.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 Carelon Medical...