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MPDocType
Title
MPPolicyNumber
MPNotificationIssuedDate
MPEffectiveDate
MPReissuedDate
MPArchiveNotifEffDate
MPSALogCreatedOn
MPPolicyChangeTypeslt
MPRevisionDate
MPSiteActivityRemovedDate
New Policies
Eye Prostheses and Scleral Cover Shell
05.00.83
1/24/2025 10:00 AM
2/24/2025
2/24/2025
This is a New Policy.
Updated Policies
Experimental/Investigational Services
12.01.01bo
1/1/2025
2/10/2025
Coverage and/or Reimbursement Position;Medical Coding
Updated Policies
Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring
11.00.06u
11/19/2024 11:00 AM
2/17/2025
2/17/2025
Medical Necessity Criteria
Updated Policies
Labiaplasty
11.06.09e
2/24/2025
2/24/2025
Medical Necessity Criteria;Medical Coding
Updated Policies
Bariatric Surgery
11.03.02v
1/24/2025 11:00 AM
2/24/2025
2/24/2025
Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated Policies
Denosumab (Prolia®, Xgeva®) and related biosimilars, and Romosozumab-aqqg (Evenity®)
08.00.94t
2/24/2025
2/24/2025
Medical Necessity Criteria
Updated Policies
Chimeric Antigen Receptor (CAR) Therapy
08.01.43p
2/24/2025
2/24/2025
Medical Necessity Criteria
Reissue Policies
Fetal Surgery
11.00.03m
1/1/2025
2/5/2025
2/5/2025
Reissue Policies
First-Trimester Prenatal Screening for Fetal Aneuploidy Using Fetal Ultrasound Markers
09.00.36m
11/21/2022
2/19/2025
2/19/2025
Reissue Policies
Biofeedback Therapy
07.00.01n
7/1/2024
2/19/2025
2/19/2025
Reissue Policies
Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Programs
10.01.01r
3/11/2024
2/19/2025
2/19/2025
Reissue Policies
Ventricular Assist Devices (VADs)
11.02.16u
5/29/2023
2/19/2025
2/19/2025
Coding Update
Reimbursement for Radiopharmaceutical Agents for Professional Providers
09.00.32ah
1/1/2025
2/3/2025
Coding Update
Modifiers 26 (Professional Component) and TC (Technical Component)
03.00.20t
1/1/2025
2/7/2025
Coding Update
Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service
03.00.06ab
1/1/2025
2/7/2025
Coding Update
Laboratory Services for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products
00.03.07ao
1/1/2025
2/13/2025
Coding Update
Services Paid Above Capitation for Health Maintenance Organization (HMO) and Health Maintenance Organization Point-of-Service (HMO-POS) Primary Care Providers
00.10.01al
1/1/2025
2/17/2025
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