Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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ARCHIVED Imaging of the Brain 2024-04-14 to 2024-10-19

Archive Date: 10/20/2024 This document has been archived because it has outdated information.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 Benefits Management...

Imaging of the Brain 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: RBM06-1024.2 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...

Imaging of the Extremities 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: RBM03-1024.1 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...

Imaging of the Spine 2024-10-20

Link to PDF Status: Revised Effective Date: 10/20/2024 Doc ID: RBM05-1024.1 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...

SPECT Imaging 2024-10-20

Link to PDF Status: Reaffirmed Effective Date: 10/20/2024 Doc ID: RBM10-1024.1-R0125 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 Appropriateness...