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New PoliciesEladocagene exuparvovec-tneq (Kebilidi™)08.02.3711/13/20245/5/2025This is a New Policy.
New PoliciesImetelstat (Rytelo™)08.02.305/19/20255/19/2025This is a New Policy.
Updated PoliciesExperimental/Investigational Services12.01.01bp4/1/20255/5/2025Medical Coding
Updated PoliciesGivosiran (Givlaari) and Panhematin (Hemin)08.00.21a5/19/20255/19/2025Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesDostarlimab-gxly (Jemperli)08.01.79f5/19/20255/19/2025Medical Necessity Criteria
Reissue PoliciesHome Health Care Services02.01.01g1/6/20255/1/20255/1/2025
Reissue PoliciesHospice Care02.02.01h12/6/20215/14/20255/14/2025
Reissue PoliciesFrenectomy, Frenotomy, or Frenoplasty for Ankyloglossia (Tongue-Tie)11.03.05e1/1/20215/14/20255/14/2025
Reissue PoliciesDenervation of the Spinal Nerves for Chronic Pain (Independence Administrators)11.15.09r12/2/20245/14/20255/14/2025
Reissue PoliciesArtificial Intervertebral Cervical Disc Insertion (Independence Administrators)11.14.19p1/10/20215/14/20255/14/2025
Reissue PoliciesSpinal Cord Ganglion and Dorsal Root Ganglion Stimulation (Independence Administrators)11.15.01y1/2/20245/14/20255/14/2025
Reissue PoliciesSpinal Laminectomy (Independence Administrators)11.14.28e1/1/20225/14/20255/14/2025
Coding UpdateRapid Whole Exome Sequencing (rWES) and Rapid Whole Genome Sequencing (rWGS) for Diagnosis of Genetic Disorders06.02.46a1/1/20245/16/2025
Archived PoliciesComplete Decongestive Therapy (CDT)07.06.01b5/5/2025 9:00 AM6/9/20255/15/2025