by dlamm | Dec 1, 2025 | Archived
Archive Date: 06/14/2026 This document has been archived because it has outdated information.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 Benefits Management...
by dlamm | Dec 1, 2025 | Current
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...
by dlamm | Dec 1, 2025 | Archived
Archive Date: 06/14/2026; not effective for Anthem BCBS OH Medicaid This document has been archived because it has outdated information.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...
by dlamm | Dec 1, 2025 | Archived
Archive Date: 06/14/2026 This document has been archived because it has outdated information.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 Benefits Management...
by dlamm | Nov 15, 2025 | Current
Link to PDF Status: Revised Effective Date: 11/15/2025 Doc ID: MSK02-1125.1 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 Appropriateness...
