Radiation Oncology | Carelon Clinical Guidelines and Pathways

Carelon Medical Benefits Management clinical appropriateness guidelines and cancer treatment pathways

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Radiation Oncology

ARCHIVED Proton Beam Therapy 2021-03-14 to 2022-03-12

ARCHIVED Radiation Therapy (excludes Proton) 2021-03-14 to 2021-11-06

ARCHIVED Radiation Therapy (excludes Proton) 2021-11-07 to 2022-03-12

ARCHIVED Radiation Therapy (excludes Proton) 2022-03-13 to 2022-11-05, 2023-04-08, and 2023-06-17

ARCHIVED Radiation Therapy (excludes Proton) 2022-11-06 to 2023-04-08 for commercial/Medicare/non-Anthem Medicaid

ARCHIVED Radiation Therapy (excludes Proton) 2023-04-09 to 2024-04-13

ARCHIVED Radiation Therapy (excludes Proton) 2024-04-14 to 2024-10-19

ARCHIVED Therapeutic Radiopharmaceuticals 2021-03-14 to 2021-11-06

ARCHIVED Therapeutic Radiopharmaceuticals 2021-11-07 to 2022-03-12

ARCHIVED Therapeutic Radiopharmaceuticals 2022-03-13 to 2022-11-05

Perirectal Hydrogel Spacer 2025-03-23

Perirectal Hydrogel Spacer for Prostate Radiotherapy 2021-11-07

Proton Beam Therapy 2022-03-13

Proton Beam Therapy 2025-03-23

Radiation Therapy (excludes Proton) 2023-04-09 for Louisiana Medicaid

Radiation Therapy (excludes Proton) 2024-10-20

Radiation Therapy (excludes Proton) 2025-03-23

Therapeutic Radiopharmaceuticals 2022-11-06

Therapeutic Radiopharmaceuticals 2025-03-23

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