ARCHIVED Imaging of the Abdomen and Pelvis for Anthem Medicaid 2021-03-14 to 2022-03-12
CLINICAL APPROPRIATENESS GUIDELINES ADVANCED IMAGING Appropriate Use Criteria: Imaging of the Abdomen and Pelvis EFFECTIVE MARCH 14, 2021 for Anthem Medicaid ARCHIVED MARCH 13, 2022 for Anthem Medicaid except Simply Healthcare (FL Medicaid); SEPTEMBER 11, 2022 for...ARCHIVED Imaging of the Extremities 2021-09-12 to 2023-03-31 for Indiana Medicaid
73200, 73201, 73202, 73218, 73219, 73220, 73221, 73222, 73223, 73700, 73701, 73702, 73718, 73719,
73720, 73721, 73722, 73723, 78811, 78812, 78813, 78814, 78815, 78816, G0235, S8085