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b00ed136-3352-4223-b636-58021431bded.aspx
  
3582Abatacept(Orencia®)forInjectionforIntravenousUseMA08.028gPharmacy (08)MA08.028gMA08.028b00ed136-3352-4223-b636-58021431bdedAbatacept (Orencia®) for Injection for Intravenous UseAbatacept (Orencia®) for Injection for Intravenous Use
{"3583": {"Id":3583,"MPAttachmentLetter":"A","Title":"ICD-10 codes","MPPolicyAttachmentInternalSourceId":6282,"PolicyAttachmentPageName":"cf45094d-bd05-4d93-993e-aa5a18b82368"},}
0fd171f7-f2b4-4b69-8563-7bdd2258b528.aspx
  
4016AbortionMA11.010aSurgery (11)MA11.010aMA11.0100fd171f7-f2b4-4b69-8563-7bdd2258b528AbortionAbortion
ba6bd7ca-d349-4200-b14d-b89ece686f02.aspx
  
3752AcupunctureMA12.004cMiscellaneous (12)MA12.004cMA12.004ba6bd7ca-d349-4200-b14d-b89ece686f02AcupunctureAcupuncture
{"3753": {"Id":3753,"MPAttachmentLetter":"A","Title":"ICD-10 CM Codes Eligible to be Reported for Acupuncture","MPPolicyAttachmentInternalSourceId":6538,"PolicyAttachmentPageName":"6f541d12-71dd-4931-ad62-8855a8184bf8"},}
2dd8737a-eb29-4514-acbd-7186ea78b680.aspx
  
3936AcuteCareFacilityInpatientTransfersMA12.003bMiscellaneous (12)MA12.003bMA12.0032dd8737a-eb29-4514-acbd-7186ea78b680Acute Care Facility Inpatient TransfersAcute Care Facility Inpatient Transfers
62e04270-b09a-42de-9ba4-248feb04627e.aspx
  
4094Ado-TrastuzumabEmtansine(Kadcyla®)MA08.066fPharmacy (08)MA08.066fMA08.06662e04270-b09a-42de-9ba4-248feb04627eAdo-Trastuzumab Emtansine (Kadcyla®)Ado-Trastuzumab Emtansine (Kadcyla®)
{"4095": {"Id":4095,"MPAttachmentLetter":"A","Title":"ICD-10 CODES AND NARRATIVES","MPPolicyAttachmentInternalSourceId":6793,"PolicyAttachmentPageName":"16b65577-4b46-4911-94f6-c3c03734729f"},}
72b0047c-3b34-4685-ad68-a0a2b71933b1.aspx
  
3434Agalsidasebeta(Fabrazyme®)MA08.033cPharmacy (08)MA08.033cMA08.03372b0047c-3b34-4685-ad68-a0a2b71933b1Agalsidase beta (Fabrazyme®)Agalsidase beta (Fabrazyme®)
119bad1e-0fbf-441f-81d6-265b76cc87b6.aspx
  
4020AirAmbulanceServicesMA12.007bMiscellaneous (12)MA12.007bMA12.007119bad1e-0fbf-441f-81d6-265b76cc87b6Air Ambulance ServicesAir Ambulance Services
1f566b6c-8a94-4447-8e00-fe6c78c20462.aspx
  
3568Alemtuzumab(Lemtrada®)MA08.015dPharmacy (08)MA08.015dMA08.0151f566b6c-8a94-4447-8e00-fe6c78c20462Alemtuzumab (Lemtrada®)Alemtuzumab (Lemtrada®)
e5598147-140e-442f-b181-fb610293bd70.aspx
  
3525Alglucosidasealfa(e.g.,Lumizyme®),Avalglucosidasealfa-ngpt(Nexviazyme®)MA08.036fPharmacy (08)MA08.036fMA08.036e5598147-140e-442f-b181-fb610293bd70Alglucosidase alfa (e.g., Lumizyme®), Avalglucosidase alfa-ngpt (Nexviazyme® )Alglucosidase alfa (e.g., Lumizyme®), Avalglucosidase alfa-ngpt (Nexviazyme® )
2e1aa0fd-b9e3-4e44-b29c-e5b32a36e6de.aspx
  
4006AllergyImmunotherapyMA07.055dMedicine (07)MA07.055dMA07.0552e1aa0fd-b9e3-4e44-b29c-e5b32a36e6deAllergy ImmunotherapyAllergy Immunotherapy
1200bd89-d573-4716-a175-5c772b242da4.aspx
  
3569Alpha1-AntitrypsinTherapy(e.g.,Prolastin-C,AralastNP,Glassia,Zemaira)MA08.050bPharmacy (08)MA08.050bMA08.0501200bd89-d573-4716-a175-5c772b242da4Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C, Aralast NP, Glassia, Zemaira)Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C, Aralast NP, Glassia, Zemaira)
aace969a-94c9-4637-9bf9-6ab17ccbcd0e.aspx
  
4193AlwaysBundledProcedureCodesMA00.026oAdministrative (00)MA00.026oMA00.026aace969a-94c9-4637-9bf9-6ab17ccbcd0eAlways Bundled Procedure CodesAlways Bundled Procedure Codes
{"4194": {"Id":4194,"MPAttachmentLetter":"B","Title":"Procedures/Services Not Eligible for Separate Reimbursement","MPPolicyAttachmentInternalSourceId":7151,"PolicyAttachmentPageName":"c9a1ed65-a8a9-45b1-a2a7-6d991131205a"},"4195": {"Id":4195,"MPAttachmentLetter":"A","Title":"Always Bundled Procedures (MPFSD Indicator B)","MPPolicyAttachmentInternalSourceId":7152,"PolicyAttachmentPageName":"bb4c0919-039e-4336-84f2-5186fcd79b07"},"4196": {"Id":4196,"MPAttachmentLetter":"C","Title":"Procedures/Services Not Eligible for Reimbursement","MPPolicyAttachmentInternalSourceId":7153,"PolicyAttachmentPageName":"e9feb58d-896e-42f2-b0ad-b42438232ce7"},}
561210e3-3390-4956-b296-c2c2ef91b2f9.aspx
  
3955AmbulatoryBloodPressureMonitoring(ABPM)andHomeBloodPressureMonitoring(HBPM)DevicesMA07.005cMedicine (07)MA07.005cMA07.005561210e3-3390-4956-b296-c2c2ef91b2f9Ambulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) DevicesAmbulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Devices
20d4debf-c979-474b-b325-3dcc70336021.aspx
  
4121AmbulatoryElectrocardiography(AECG)MonitoringandMobileCardiacOutpatientTelemetry(MCOT)MonitoringMA07.026kMedicine (07)MA07.026kMA07.02620d4debf-c979-474b-b325-3dcc70336021Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) MonitoringAmbulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring
6a1b55c5-5993-4f32-a0ed-4fd61d9d86ac.aspx
  
3813AnesthesiaServicesforEpidural,ParavertebralFacetandSacroiliacJointInjectionsforSpinalJointManagementMA01.008aAnesthesia (01)MA01.008aMA01.0086a1b55c5-5993-4f32-a0ed-4fd61d9d86acAnesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint ManagementAnesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management
{}
2997254c-1be9-4fd5-9b6b-394b8f40bf96.aspx
  
3571Anifrolumab-fnia(Saphnelo™)MA08.140bPharmacy (08)MA08.140bMA08.1402997254c-1be9-4fd5-9b6b-394b8f40bf96Anifrolumab-fnia (Saphnelo™)Anifrolumab-fnia (Saphnelo™)
4381bbfc-9be4-4c1d-be48-104f3d74cddf.aspx
  
2830Ankle-Foot/Knee-Ankle-FootOrthosesMA05.010gDME (05)MA05.010gMA05.0104381bbfc-9be4-4c1d-be48-104f3d74cddfAnkle-Foot/Knee-Ankle-Foot OrthosesAnkle-Foot/Knee-Ankle-Foot Orthoses
{"2831": {"Id":2831,"MPAttachmentLetter":"A","Title":"HCPCS CODES FOR ANKLE-FOOT/ KNEE-ANKLE FOOT ORTHOSIS","MPPolicyAttachmentInternalSourceId":5438,"PolicyAttachmentPageName":"abe26858-dc87-4040-a463-5b67d4bafc0c"},}
6784e81c-0d85-46ea-8570-0305b1408593.aspx
  
3503AnorectalManometry,Electromyography(EMG)ofAnorectalorUrethralSphincters;BiofeedbackTrainingforPerinealMusclesandAnorectalorUrethralSphinctersMA07.018bMedicine (07)MA07.018bMA07.0186784e81c-0d85-46ea-8570-0305b1408593Anorectal Manometry, Electromyography (EMG) of Anorectal or Urethral Sphincters; Biofeedback Training for Perineal Muscles and Anorectal or Urethral SphinctersAnorectal Manometry, Electromyography (EMG) of Anorectal or Urethral Sphincters; Biofeedback Training for Perineal Muscles and Anorectal or Urethral Sphincters
a8e854f7-94e7-4833-a02c-b7fb4214ff25.aspx
  
2179ApheresisTherapyMA06.001ePathology and Laboratory (06)MA06.001eMA06.001a8e854f7-94e7-4833-a02c-b7fb4214ff25Apheresis TherapyApheresis Therapy
5e7b3431-7254-494b-91b5-f3edb685eb24.aspx
  
3515ApplicationandRemovalofTattoosMA11.072Surgery (11)MA11.072MA11.0725e7b3431-7254-494b-91b5-f3edb685eb24Application and Removal of TattoosApplication and Removal of Tattoos
ff104db5-0a07-4d08-9240-ca4aede56f1f.aspx
  
4132Aprepitant(Cinvanti™),FosaprepitantDimeglumine(Emend®),Granisetron(Sustol®),andRolapitant(Varubi®)MA08.091ePharmacy (08)MA08.091eMA08.091ff104db5-0a07-4d08-9240-ca4aede56f1fAprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)Aprepitant (Cinvanti™), Fosaprepitant Dimeglumine (Emend®), Granisetron (Sustol®), and Rolapitant (Varubi®)
{"4133": {"Id":4133,"MPAttachmentLetter":"A","Title":"Risk of Emesis Without Prophylaxis: Intravenous and Oral Antineoplastic Agents","MPPolicyAttachmentInternalSourceId":7123,"PolicyAttachmentPageName":"558f07dc-00a1-44ad-bfa2-15f8d10d97c4"},}
df24c7d1-3b2b-41a3-ba0a-d25c9c5e7d70.aspx
  
4137AqueousShunts,Microstents,Viscocanalostomy,andCanaloplastyfortheTreatmentofGlaucomaMA11.105jSurgery (11)MA11.105jMA11.105df24c7d1-3b2b-41a3-ba0a-d25c9c5e7d70Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of GlaucomaAqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma
{"4138": {"Id":4138,"MPAttachmentLetter":"A","Title":"ICD-10 Codes","MPPolicyAttachmentInternalSourceId":7062,"PolicyAttachmentPageName":"bad39d3e-be8b-4144-b280-a37f967082f1"},}
4d0593ea-c69f-4b0e-8370-ebed3c66e12f.aspx
  
4129ArtificialIntervertebralLumbarDiscInsertionMA11.114bSurgery (11)MA11.114bMA11.1144d0593ea-c69f-4b0e-8370-ebed3c66e12fArtificial Intervertebral Lumbar Disc InsertionArtificial Intervertebral Lumbar Disc Insertion
53bac0ed-9c15-45d1-a6eb-df0442a11e2a.aspx
  
3742Asparaginaseerwiniachrysanthemi(Erwinaze®),asparaginaseerwiniachrysanthemi(recombinant)-rywn(Rylaze™)MA08.085fPharmacy (08)MA08.085fMA08.08553bac0ed-9c15-45d1-a6eb-df0442a11e2aAsparaginase erwinia chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)Asparaginase erwinia chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze™)
cde82c5a-0a80-4bfb-9c2f-a6bec18e4a07.aspx
  
3391Atezolizumab(Tecentriq®)MA08.127bPharmacy (08)MA08.127bMA08.127cde82c5a-0a80-4bfb-9c2f-a6bec18e4a07Atezolizumab (Tecentriq®)Atezolizumab (Tecentriq®)
{"3392": {"Id":3392,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":6122,"PolicyAttachmentPageName":"1f3a7a81-eda4-44e7-a9a5-f6286558df75"},}
31ffd380-3f3a-469d-8a3d-744ef976f1ed.aspx
  
4023AutomaticExternalCardioverterDefibrillators(WearableandNonwearable)MA05.005fDME (05)MA05.005fMA05.00531ffd380-3f3a-469d-8a3d-744ef976f1edAutomatic External Cardioverter Defibrillators (Wearable and Nonwearable)Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)
{"4024": {"Id":4024,"MPAttachmentLetter":"B","Title":"ICD-10 codes used to represent the Nonwearable Automatic External Defibrillator (AED):","MPPolicyAttachmentInternalSourceId":6579,"PolicyAttachmentPageName":"6ccb9941-dadc-469b-b13e-a3d12330977d"},"4025": {"Id":4025,"MPAttachmentLetter":"A","Title":"ICD-10 codes used to represent the Wearable Automatic External Defibrillator (AED):","MPPolicyAttachmentInternalSourceId":6580,"PolicyAttachmentPageName":"7ee43fa7-62c0-4602-9074-b222f08585e0"},}
3af75148-49ba-4d1c-ba97-554d5699a376.aspx
  
3819AutonomicNervousSystemTestingMA07.027fMedicine (07)MA07.027fMA07.0273af75148-49ba-4d1c-ba97-554d5699a376Autonomic Nervous System TestingAutonomic Nervous System Testing
2940ef19-00de-46de-bbaa-aef9985a3ac2.aspx
  
4105Avelumab(Bavencio®)MA08.122bPharmacy (08)MA08.122bMA08.1222940ef19-00de-46de-bbaa-aef9985a3ac2Avelumab (Bavencio®)Avelumab (Bavencio®)
{"4106": {"Id":4106,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":7009,"PolicyAttachmentPageName":"15c6ab29-ebb0-4244-b462-2756d4f993b8"},}
cabedfbf-0373-4c4a-92e4-36c05c25ded0.aspx
  
3619BalloonCatheterDilationofSinusOstiaforTreatmentofChronicRhinosinusitisMA11.100eSurgery (11)MA11.100eMA11.100cabedfbf-0373-4c4a-92e4-36c05c25ded0Balloon Catheter Dilation of Sinus Ostia for Treatment of Chronic RhinosinusitisBalloon Catheter Dilation of Sinus Ostia for Treatment of Chronic Rhinosinusitis
cf4b9338-44d8-4be3-b8af-86f6920be908.aspx
  
3532belantamabmafodotin-blmf(Blenrep)MA08.119bPharmacy (08)MA08.119bMA08.119cf4b9338-44d8-4be3-b8af-86f6920be908belantamab mafodotin-blmf (Blenrep) belantamab mafodotin-blmf (Blenrep)
9903914d-e3cf-4399-ae00-108494eae90c.aspx
  
3930Belimumab(Benlysta®)forIntravenousUseMA08.057dPharmacy (08)MA08.057dMA08.0579903914d-e3cf-4399-ae00-108494eae90cBelimumab (Benlysta®) for Intravenous UseBelimumab (Benlysta®) for Intravenous Use
19d36ffa-eed6-4945-a394-53539c3e6c01.aspx
  
4141Bevacizumab(Avastin®)andRelatedBiosimilarsForOncologicUseMA08.072kPharmacy (08)MA08.072kMA08.07219d36ffa-eed6-4945-a394-53539c3e6c01Bevacizumab (Avastin®) and Related Biosimilars For Oncologic UseBevacizumab (Avastin®) and Related Biosimilars For Oncologic Use
{"4142": {"Id":4142,"MPAttachmentLetter":"A","Title":"Dosing and Frequency Requirements","MPPolicyAttachmentInternalSourceId":7071,"PolicyAttachmentPageName":"2c3b26d2-0a68-4b59-9705-a47340a08517"},}
fa386a65-d740-4764-878d-b0c03ccee966.aspx
  
3321BillingforProfessionalOffice-BasedServicesPerformedinanOutpatientOffice-BasedSettingLocatedwithinaFacilityoronaFacilityCampusMA00.037kAdministrative (00)MA00.037kMA00.037fa386a65-d740-4764-878d-b0c03ccee966Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility CampusBilling for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus
{"3322": {"Id":3322,"MPAttachmentLetter":"A","Title":"Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus - CPT/HCPCS Codes","MPPolicyAttachmentInternalSourceId":6120,"PolicyAttachmentPageName":"59902f83-9042-435b-95fb-a2fc79a83db1"},}
cd3494a3-4f4f-4dc3-b0ae-c7e16e45d55f.aspx
  
3644BiofeedbackTherapyMA07.010aMedicine (07)MA07.010aMA07.010cd3494a3-4f4f-4dc3-b0ae-c7e16e45d55fBiofeedback TherapyBiofeedback Therapy
fc94fb44-a8a9-41f6-8fe6-687483a6ebc6.aspx
  
3618BioimpedancefortheDetectionofLymphedemaMA07.052Medicine (07)MA07.052MA07.052fc94fb44-a8a9-41f6-8fe6-687483a6ebc6Bioimpedance for the Detection of LymphedemaBioimpedance for the Detection of Lymphedema
471e433d-f780-4d16-882b-1406395273b3.aspx
  
4004Blepharoplasty,RepairofBlepharoptosis,RepairofBrowPtosis,andCanthoplasty/CanthopexyMA11.047dSurgery (11)MA11.047dMA11.047471e433d-f780-4d16-882b-1406395273b3Blepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/CanthopexyBlepharoplasty, Repair of Blepharoptosis, Repair of Brow Ptosis, and Canthoplasty/Canthopexy
{"4005": {"Id":4005,"MPAttachmentLetter":"A","Title":"ICD-10 Coding","MPPolicyAttachmentInternalSourceId":6998,"PolicyAttachmentPageName":"dacc12f4-b2a3-4a21-9dd1-580964f7c079"},}
9169d365-5d9b-44b4-a3f9-3fa88e9a4a1a.aspx
  
3631Blinatumomab(Blincyto®)MA08.058ePharmacy (08)MA08.058eMA08.0589169d365-5d9b-44b4-a3f9-3fa88e9a4a1aBlinatumomab (Blincyto®)Blinatumomab (Blincyto®)
cc5a905b-ad8a-487c-a688-6d3af1a4311a.aspx
  
4164Bone-Anchored(Osseointegrated)HearingAidsandImplantableMiddleEarHearingAidsMA11.049eSurgery (11)MA11.049eMA11.049cc5a905b-ad8a-487c-a688-6d3af1a4311aBone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing AidsBone-Anchored (Osseointegrated) Hearing Aids and Implantable Middle Ear Hearing Aids
ae53fe4a-bce1-43e4-8f29-b3bfd9e5b0f5.aspx
  
4160Bortezomib(BortezomibforInjection,Velcade®)MA08.037iPharmacy (08)MA08.037iMA08.037ae53fe4a-bce1-43e4-8f29-b3bfd9e5b0f5Bortezomib (Bortezomib for Injection, Velcade®)Bortezomib (Bortezomib for Injection, Velcade®)
{"4161": {"Id":4161,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":7119,"PolicyAttachmentPageName":"571ad3d2-dde6-4cfa-a4f7-d851871d9e28"},}
18450aea-5590-4c1c-93f7-b826767af30c.aspx
  
3855BotulinumToxinAgentsMA08.017hPharmacy (08)MA08.017hMA08.01718450aea-5590-4c1c-93f7-b826767af30cBotulinum Toxin AgentsBotulinum Toxin Agents
{"3856": {"Id":3856,"MPAttachmentLetter":"A","Title":"ICD-10 Diagnosis Codes","MPPolicyAttachmentInternalSourceId":6761,"PolicyAttachmentPageName":"c95eeb16-1e5d-46bb-8ec4-68f43aee9c3f"},}
5de87146-f5e7-4927-8264-ff5c323d17a9.aspx
  
3792BrentuximabVedotin(Adcetris®)MA08.068hPharmacy (08)MA08.068hMA08.0685de87146-f5e7-4927-8264-ff5c323d17a9Brentuximab Vedotin (Adcetris®)Brentuximab Vedotin (Adcetris®)
{"3793": {"Id":3793,"MPAttachmentLetter":"A","Title":"ICD 10 CODES AND NARRATIVES","MPPolicyAttachmentInternalSourceId":6763,"PolicyAttachmentPageName":"53f87106-7279-43a6-9fb7-e70e019e1292"},}
69c14601-19f4-4a22-869a-ce88af536766.aspx
  
3417BronchialValvesMA11.020Surgery (11)MA11.020MA11.02069c14601-19f4-4a22-869a-ce88af536766Bronchial ValvesBronchial Valves
6fab4e9d-5e32-4f2d-a48f-3b3b7d31608f.aspx
  
3524Burosumab-twza(Crysvita®)MA08.099bPharmacy (08)MA08.099bMA08.0996fab4e9d-5e32-4f2d-a48f-3b3b7d31608fBurosumab-twza (Crysvita®)Burosumab-twza (Crysvita®)
a9edc4ba-8e39-4e75-93f1-eccdd1d9391e.aspx
  
3402Canakinumab(Ilaris®)MA08.101aPharmacy (08)MA08.101aMA08.101a9edc4ba-8e39-4e75-93f1-eccdd1d9391eCanakinumab (Ilaris®)Canakinumab (Ilaris®)
9ed71d16-85d6-476c-9ed2-2e1a6fb65333.aspx
  
3401CanesandCrutchesMA05.052bDME (05)MA05.052bMA05.0529ed71d16-85d6-476c-9ed2-2e1a6fb65333Canes and CrutchesCanes and Crutches
bde6f5bb-a063-46ae-872f-2574f19b4f0e.aspx
  
4118CapsuleEndoscopyMA07.022eMedicine (07)MA07.022eMA07.022bde6f5bb-a063-46ae-872f-2574f19b4f0eCapsule EndoscopyCapsule Endoscopy
de73d54c-e82e-406d-a1d8-c94d36bf4fc5.aspx
  
3807CardiacRehabilitation(CR)andIntensiveCardiacRehabilitation(ICR)ProgramsMA10.002cRehabilitation Services (10)MA10.002cMA10.002de73d54c-e82e-406d-a1d8-c94d36bf4fc5Cardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) ProgramsCardiac Rehabilitation (CR) and Intensive Cardiac Rehabilitation (ICR) Programs
{"3808": {"Id":3808,"MPAttachmentLetter":"A","Title":"Medically Necessary ICD-10 Codes","MPPolicyAttachmentInternalSourceId":6702,"PolicyAttachmentPageName":"8a00fdd6-dd29-4596-b900-0e494b1c1ce9"},}
2411d8e2-991c-4860-a612-ba7bb8056705.aspx
  
3878CareManagementandCarePlanningServicesMA00.006lAdministrative (00)MA00.006lMA00.0062411d8e2-991c-4860-a612-ba7bb8056705Care Management and Care Planning ServicesCare Management and Care Planning Services
cc00c34c-5b11-4450-9824-79ca51259fae.aspx
  
3969Carfilzomib(Kyprolis™)MA08.062gPharmacy (08)MA08.062gMA08.062cc00c34c-5b11-4450-9824-79ca51259faeCarfilzomib (Kyprolis™)Carfilzomib (Kyprolis™)
b86099e5-ed74-4f52-9ab4-c534c779cb23.aspx
  
3612CastandSplintApplicationsandAssociatedSuppliesMA00.012cAdministrative (00)MA00.012cMA00.012b86099e5-ed74-4f52-9ab4-c534c779cb23Cast and Splint Applications and Associated SuppliesCast and Splint Applications and Associated Supplies
{"3613": {"Id":3613,"MPAttachmentLetter":"A","Title":"Procedures Related to Cast and Splint Applications and Associated Supplies","MPPolicyAttachmentInternalSourceId":6422,"PolicyAttachmentPageName":"eec4f404-030d-42ce-855c-d06522638dd4"},}
35d53c26-0c5b-4b14-b8b8-a5597e77fe0c.aspx
  
4010CataractSurgeryMA11.054dSurgery (11)MA11.054dMA11.05435d53c26-0c5b-4b14-b8b8-a5597e77fe0cCataract SurgeryCataract Surgery
{"4011": {"Id":4011,"MPAttachmentLetter":"A","Title":"ICD-10 codes","MPPolicyAttachmentInternalSourceId":6669,"PolicyAttachmentPageName":"00eafbe0-27dc-4b22-bec7-d83dddcb66d7"},}
d64fed48-4aef-4817-967f-2e50017c1cb0.aspx
  
3809CatheterAblationofCardiacArrhythmiasMA11.060eSurgery (11)MA11.060eMA11.060d64fed48-4aef-4817-967f-2e50017c1cb0Catheter Ablation of Cardiac ArrhythmiasCatheter Ablation of Cardiac Arrhythmias
43307a95-4d17-43d5-ae1d-447dee061b11.aspx
  
4103Cemiplimab-rwlc(Libtayo®)MA08.124bPharmacy (08)MA08.124bMA08.12443307a95-4d17-43d5-ae1d-447dee061b11Cemiplimab-rwlc (Libtayo®)Cemiplimab-rwlc (Libtayo®)
af3e4f67-0660-4149-b715-205f07d43919.aspx
  
3526Cerliponasealfa(Brineura®)MA08.089cPharmacy (08)MA08.089cMA08.089af3e4f67-0660-4149-b715-205f07d43919Cerliponase alfa (Brineura®)Cerliponase alfa (Brineura®)
c98e6881-f694-4a4a-93e0-12285cfbf202.aspx
  
3438CervicalTractionDevicesforIn-homeUseMA05.009aDME (05)MA05.009aMA05.009c98e6881-f694-4a4a-93e0-12285cfbf202Cervical Traction Devices for In-home UseCervical Traction Devices for In-home Use
da641a6d-6927-4908-a969-1856f88de703.aspx
  
4156Cetuximab(Erbitux®)MA08.031fPharmacy (08)MA08.031fMA08.031da641a6d-6927-4908-a969-1856f88de703Cetuximab (Erbitux®)Cetuximab (Erbitux®)
{"4157": {"Id":4157,"MPAttachmentLetter":"B","Title":"ICD-10 Codes for Cetuximab (Erbitux®)","MPPolicyAttachmentInternalSourceId":7027,"PolicyAttachmentPageName":"d0267e57-e63e-4c96-8294-a9d0b160eff9"},"4158": {"Id":4158,"MPAttachmentLetter":"A","Title":"Dosing and Frequency Requirements","MPPolicyAttachmentInternalSourceId":7028,"PolicyAttachmentPageName":"22127d10-f3f4-472d-9c56-cab879c5de3a"},}
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3787ChemicalPeelsMA11.103bSurgery (11)MA11.103bMA11.103b89e88bc-c37b-4819-a4ea-af219a5cf05dChemical PeelsChemical Peels
2aa985e5-66d4-4c33-9b92-cffca516451e.aspx
  
3790ChimericAntigenReceptor(CAR)TherapyMA08.093kPharmacy (08)MA08.093kMA08.0932aa985e5-66d4-4c33-9b92-cffca516451eChimeric Antigen Receptor (CAR) TherapyChimeric Antigen Receptor (CAR) Therapy
{"3791": {"Id":3791,"MPAttachmentLetter":"A","Title":"ICD 10 codes","MPPolicyAttachmentInternalSourceId":6561,"PolicyAttachmentPageName":"c52d4929-1636-4076-b07d-a4a95bdbcd52"},}
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3978ChiropracticServicesMA10.004hRehabilitation Services (10)MA10.004hMA10.0047d3057f3-c09c-492e-8583-c5300b165742Chiropractic ServicesChiropractic Services
{"3979": {"Id":3979,"MPAttachmentLetter":"A","Title":"Medically neessary ICD-10 diagnosis codes","MPPolicyAttachmentInternalSourceId":6877,"PolicyAttachmentPageName":"2fddedd7-0de5-4a26-83a9-310b2f845333"},}
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1368Circulating Tumor Cell (CTC) AssayPathology and Laboratory (06)MA06.030MA06.030F371FB2E48AFB33885257DBE00723399Circulating Tumor Cell (CTC) AssayCirculating Tumor Cell (CTC) Assay
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3958CoagulationFactorsMA08.004tPharmacy (08)MA08.004tMA08.004560ab61f-50a9-4fb5-9b2f-45445ab7a909Coagulation Factors Coagulation Factors
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4206Cobalamin(VitaminB12),FolicAcid,andHomocysteineTestingMA06.032aPathology and Laboratory (06)MA06.032aMA06.03208299b3d-e691-4b8a-b760-476b6013cdcfCobalamin (Vitamin B12), Folic Acid, and Homocysteine TestingCobalamin (Vitamin B12), Folic Acid, and Homocysteine Testing
{"4207": {"Id":4207,"MPAttachmentLetter":"A","Title":"ICD 10 CODES FOR MEDICALLY NECESSARY COBALAMIN (VITAMIN B12), FOLIC ACID, AND/OR HOMOCYSTEINE TESTING (CPT CODES 82607, 82746, AND 83090)","MPPolicyAttachmentInternalSourceId":7157,"PolicyAttachmentPageName":"6730a75f-3149-47c6-90ac-aee646ce81f2"},}
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2505CochlearImplantationMA11.039dSurgery (11)MA11.039dMA11.0392ff992d2-ca4a-42b9-b321-e387ed4804fdCochlear ImplantationCochlear Implantation
c4e07093-c912-4146-8bab-3e038ab4fbce.aspx
  
3437Collagenaseclostridiumhistolyticum(Xiaflex®),collagenaseclostridiumhistolyticum-aaes(Qwo™)MA08.128Pharmacy (08)MA08.128MA08.128c4e07093-c912-4146-8bab-3e038ab4fbceCollagenase clostridium histolyticum ( Xiaflex ®), collagenase clostridium histolyticum-aaes (Qwo™)Collagenase clostridium histolyticum ( Xiaflex ®), collagenase clostridium histolyticum-aaes (Qwo™)
b54c4527-287c-44b4-ba99-2781f6ea0463.aspx
  
3383CommodeChairsMA05.036bDME (05)MA05.036bMA05.036b54c4527-287c-44b4-ba99-2781f6ea0463Commode ChairsCommode Chairs
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3614ComplementaryandIntegrativeHealthServicesMA12.001dMiscellaneous (12)MA12.001dMA12.001a62fd0fa-8e7b-4ed1-bb67-fd235c1159f0Complementary and Integrative Health ServicesComplementary and Integrative Health Services
74c1970e-fa1e-40e5-91ce-bd5dd3e8a6f5.aspx
  
3617CompleteDecongestiveTherapy(CDT)MA07.042Medicine (07)MA07.042MA07.04274c1970e-fa1e-40e5-91ce-bd5dd3e8a6f5Complete Decongestive Therapy (CDT)Complete Decongestive Therapy (CDT)
1361257a-290f-4536-95f4-94e8c6ac325a.aspx
  
3648CompositeTissueAllotransplantationoftheHand(s)andFaceMA11.112Surgery (11)MA11.112MA11.1121361257a-290f-4536-95f4-94e8c6ac325aComposite Tissue Allotransplantation of the Hand(s) and FaceComposite Tissue Allotransplantation of the Hand(s) and Face
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3640CompressionGarmentsMA05.045aDME (05)MA05.045aMA05.04555f0dbf5-ae18-4373-b456-a221e9d39c1cCompression GarmentsCompression Garments
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3685Computer-AidedDetection(CAD)SystemforUsewithChestRadiographsMA09.014aRadiology (09)MA09.014aMA09.0140e3d12af-5a08-4b0c-8211-19ac349faf3bComputer-Aided Detection (CAD) System for Use with Chest RadiographsComputer-Aided Detection (CAD) System for Use with Chest Radiographs
6c50e1d0-0b77-45d9-abd2-9c2633dc200e.aspx
  
3605Computer-AssistedMusculoskeletalSurgicalNavigationalOrthopedicProcedureMA11.088cSurgery (11)MA11.088cMA11.0886c50e1d0-0b77-45d9-abd2-9c2633dc200eComputer-Assisted Musculoskeletal Surgical Navigational Orthopedic ProcedureComputer-Assisted Musculoskeletal Surgical Navigational Orthopedic Procedure
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3588ConsultationServicesMA00.049aAdministrative (00)MA00.049aMA00.04957649d5c-49aa-4216-9686-3c820b5d1237Consultation ServicesConsultation Services
9cc59b93-9d13-4ffd-960e-be24eec1994b.aspx
  
4122ContinuousGlucoseMonitorsandHomeBloodGlucoseMonitorsandSuppliesMA00.002jAdministrative (00)MA00.002jMA00.0029cc59b93-9d13-4ffd-960e-be24eec1994bContinuous Glucose Monitors and Home Blood Glucose Monitors and SuppliesContinuous Glucose Monitors and Home Blood Glucose Monitors and Supplies
{"4123": {"Id":4123,"MPAttachmentLetter":"A","Title":"ICD10: Short-Term Interstitial CGMS","MPPolicyAttachmentInternalSourceId":7063,"PolicyAttachmentPageName":"d99c2a3b-d2ba-45dc-876b-ff7bfd9531e7"},"4124": {"Id":4124,"MPAttachmentLetter":"B","Title":"ICD10: Long-Term Interstitial CGMS","MPPolicyAttachmentInternalSourceId":7064,"PolicyAttachmentPageName":"d56aab3f-53f6-4c62-b959-ef964e165dc7"},"4125": {"Id":4125,"MPAttachmentLetter":"C","Title":"ICD10: Home Blood Glucose Monitors and Supplies","MPPolicyAttachmentInternalSourceId":7065,"PolicyAttachmentPageName":"4ad24d57-1c97-4787-ac55-811b9b82482e"},}
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2532ContrastAgentsUsedinConjunctionwithEchocardiographyMA09.004cRadiology (09)MA09.004cMA09.00416379ab5-1c4e-4ad3-9aa8-49dea5cd3d30Contrast Agents Used in Conjunction with EchocardiographyContrast Agents Used in Conjunction with Echocardiography
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3636CornealPachymetryUsingUltrasoundMA07.046gMedicine (07)MA07.046gMA07.0460d262908-e6ab-4ad9-a017-96491fb35ed8Corneal Pachymetry Using UltrasoundCorneal Pachymetry Using Ultrasound
{"3637": {"Id":3637,"MPAttachmentLetter":"A","Title":"ICD-10-CM Codes Eligible to be Reported for Corneal Pachymetry Using Ultrasound","MPPolicyAttachmentInternalSourceId":6352,"PolicyAttachmentPageName":"67d2afd6-52ba-486d-b170-3ac791273313"},}
13c34059-266d-452b-a086-b5e79450d900.aspx
  
4014CosmeticProceduresMA12.009aMiscellaneous (12)MA12.009aMA12.00913c34059-266d-452b-a086-b5e79450d900Cosmetic ProceduresCosmetic Procedures
69c3f8a1-1044-489c-869e-7e78dbb55b06.aspx
  
3048CoverageofMedicalDevicesMA05.040bDME (05)MA05.040bMA05.04069c3f8a1-1044-489c-869e-7e78dbb55b06Coverage of Medical DevicesCoverage of Medical Devices
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3935CranialElectrotherapyStimulationMA05.066cDME (05)MA05.066cMA05.06614ef6470-44f4-4099-881a-21521d12fec8Cranial Electrotherapy StimulationCranial Electrotherapy Stimulation
bd8724e2-053c-46e0-ad5a-4e5dbf9cf587.aspx
  
4169CriteriaforReimbursementofEmergencyRoomServicesMA00.044cAdministrative (00)MA00.044cMA00.044bd8724e2-053c-46e0-ad5a-4e5dbf9cf587Criteria for Reimbursement of Emergency Room ServicesCriteria for Reimbursement of Emergency Room Services
5c85f061-d9b8-458b-977b-a6d0470b0e1f.aspx
  
3387crizanlizumab-tmca(Adakveo®)MA08.109aPharmacy (08)MA08.109aMA08.1095c85f061-d9b8-458b-977b-a6d0470b0e1fcrizanlizumab-tmca (Adakveo®)crizanlizumab-tmca (Adakveo®)
4262ba16-e187-42a1-a358-5309ce6b6ea5.aspx
  
3623CryosurgicalAblationoftheProstateGlandMA11.022aSurgery (11)MA11.022aMA11.0224262ba16-e187-42a1-a358-5309ce6b6ea5Cryosurgical Ablation of the Prostate GlandCryosurgical Ablation of the Prostate Gland
fc8bc0fe-8bb5-4590-830c-71eb68cd8fce.aspx
  
3746Daratumumab(Darzalex®),Daratumumab,andHyaluronidase-fihj(DarzalexFaspro®)MA08.079jPharmacy (08)MA08.079jMA08.079fc8bc0fe-8bb5-4590-830c-71eb68cd8fceDaratumumab (Darzalex®), Daratumumab, and Hyaluronidase-fihj (Darzalex Faspro®)Daratumumab (Darzalex®), Daratumumab, and Hyaluronidase-fihj (Darzalex Faspro®)
c7e08d9f-c93b-4f1c-a093-ee818b303290.aspx
  
3767DayRehabilitationMA10.005bRehabilitation Services (10)MA10.005bMA10.005c7e08d9f-c93b-4f1c-a093-ee818b303290Day RehabilitationDay Rehabilitation
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3688DebridementofMycoticandSymptomaticNon-MycoticHypertrophicToeNailsMA11.014gSurgery (11)MA11.014gMA11.0145b93c7e1-f677-4375-922a-ca9531f9db6eDebridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe NailsDebridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails
{"3689": {"Id":3689,"MPAttachmentLetter":"E","Title":"ICD-10 CM Codes Eligible to be Reported for Debridement of mycotic hypertrophic toe nails (S86.892A - Z79.01), Continued","MPPolicyAttachmentInternalSourceId":6449,"PolicyAttachmentPageName":"fa3bedd1-18ca-4565-9102-1ae7d787fc51"},"3690": {"Id":3690,"MPAttachmentLetter":"A","Title":"ICD-10 CM Codes Eligible to be Reported for Debridement of mycotic hypertrophic toe nails (A30.0 -E10.21)","MPPolicyAttachmentInternalSourceId":6450,"PolicyAttachmentPageName":"b5acd45e-8f7c-41e5-976a-de72f1e247f6"},"3691": {"Id":3691,"MPAttachmentLetter":"D","Title":"ICD-10 CM Codes Eligible to be Reported for Debridement of mycotic hypertrophic toe nails (I87.099 - S86.891S), Continued","MPPolicyAttachmentInternalSourceId":6451,"PolicyAttachmentPageName":"c2fd6656-b39b-4a7a-b49b-5c00835af755"},"3692": {"Id":3692,"MPAttachmentLetter":"C","Title":"ICD-10 CM Codes Eligible to be Reported for Debridement of mycotic hypertrophic toe nails (E13.3513 - I87.093), Continued","MPPolicyAttachmentInternalSourceId":6452,"PolicyAttachmentPageName":"ca504ebb-8059-4a02-b7f5-4a19e4404a3d"},"3693": {"Id":3693,"MPAttachmentLetter":"B","Title":"ICD-10 CM Codes Eligible to be Reported for Debridement of mycotic hypertrophic toe nails (E10.22 - E13.3512), Continued","MPPolicyAttachmentInternalSourceId":6453,"PolicyAttachmentPageName":"b994a1dd-4f7a-4c91-84e2-ad574be4e4f1"},}
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3941DeepBrainStimulation(DBS)MA11.005eSurgery (11)MA11.005eMA11.005fa45f706-4ac4-436e-9728-ae8a125450dfDeep Brain Stimulation (DBS)Deep Brain Stimulation (DBS)
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3522Denosumab(Prolia®,Xgeva®),Romosozumab-aqqg(Evenity®)MA08.052jPharmacy (08)MA08.052jMA08.052116bf5f6-59fe-4c5b-b271-9a90bf62beb6Denosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)Denosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)
{"3523": {"Id":3523,"MPAttachmentLetter":"A","Title":"ICD-10-CM Codes","MPPolicyAttachmentInternalSourceId":6189,"PolicyAttachmentPageName":"dd04c740-d70b-48c8-b128-cde0f0c0b1f9"},}
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4139DermabrasionforRhinophyma,Septoplasty,Rhinoplasty,andSeptorhinoplastyMA11.099cSurgery (11)MA11.099cMA11.0990254b636-2a8f-4b02-a7ca-0ea8002e8852Dermabrasion for Rhinophyma, Septoplasty, Rhinoplasty, and SeptorhinoplastyDermabrasion for Rhinophyma, Septoplasty, Rhinoplasty, and Septorhinoplasty
3cc570f5-3a08-4974-a65d-e95d42146963.aspx
  
3346DirectAccesstoObstetrics/Gynecology(OB/GYN)ServicesMA00.032dAdministrative (00)MA00.032dMA00.0323cc570f5-3a08-4974-a65d-e95d42146963Direct Access to Obstetrics/Gynecology (OB/GYN) ServicesDirect Access to Obstetrics/Gynecology (OB/GYN) Services
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3575Dofetilide(Tikosyn®)UseintheInpatientSettingMA08.021bPharmacy (08)MA08.021bMA08.021062b48a0-26a9-4077-805d-713072908f88Dofetilide (Tikosyn®) Use in the Inpatient SettingDofetilide (Tikosyn®) Use in the Inpatient Setting
c37d9c69-6413-4a3b-872a-d26735e8bd34.aspx
  
3413Dostarlimab-gxly(Jemperli)MA08.136cPharmacy (08)MA08.136cMA08.136c37d9c69-6413-4a3b-872a-d26735e8bd34Dostarlimab-gxly (Jemperli)Dostarlimab-gxly (Jemperli)
9b4d3cea-ae30-4134-98bd-9481da9fc035.aspx
  
3916Drug-ElutingBeadsandBlandEmbolizationfortheTreatmentofHepaticMalignanciesMA07.041bMedicine (07)MA07.041bMA07.0419b4d3cea-ae30-4134-98bd-9481da9fc035Drug-Eluting Beads and Bland Embolization for the Treatment of Hepatic MalignanciesDrug-Eluting Beads and Bland Embolization for the Treatment of Hepatic Malignancies
7b2483b4-e675-4145-81dd-85fc1297f34d.aspx
  
3912DurableMedicalEquipment(DME)MA05.044mDME (05)MA05.044mMA05.0447b2483b4-e675-4145-81dd-85fc1297f34dDurable Medical Equipment (DME)Durable Medical Equipment (DME)
{"3913": {"Id":3913,"MPAttachmentLetter":"B","Title":"Items that Do Not Meet the Definition of Durable Medical Equipment (DME) or Excluded from Coverage by Medicare","MPPolicyAttachmentInternalSourceId":6892,"PolicyAttachmentPageName":"dd825de3-651a-4b87-b75e-320e95f2e664"},"3914": {"Id":3914,"MPAttachmentLetter":"A2","Title":"Equipment that Meets the Definition of Durable Medical Equipment (DME)","MPPolicyAttachmentInternalSourceId":6893,"PolicyAttachmentPageName":"bb9284b2-d69d-4515-bbe9-c873bf42e1b2"},"3915": {"Id":3915,"MPAttachmentLetter":"A1","Title":"Equipment that Meets the Definition of Durable Medical Equipment (DME)","MPPolicyAttachmentInternalSourceId":6894,"PolicyAttachmentPageName":"3abcdc4e-7acd-4813-afc5-9e4fd85d9c01"},}
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4015DurableMedicalEquipment(DME)NotSubjecttoaRentaltoPurchaseMaximumMA05.028eDME (05)MA05.028eMA05.0281b12ffb5-60aa-4123-895e-6165136f7204Durable Medical Equipment (DME) Not Subject to a Rental to Purchase MaximumDurable Medical Equipment (DME) Not Subject to a Rental to Purchase Maximum
2c99c5d8-b866-4945-9fed-9fbc3712a42c.aspx
  
4113Durvalumab(Imfinzi®)MA08.123bPharmacy (08)MA08.123bMA08.1232c99c5d8-b866-4945-9fed-9fbc3712a42cDurvalumab (Imfinzi®)Durvalumab (Imfinzi®)
{"4114": {"Id":4114,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":6592,"PolicyAttachmentPageName":"bf714cae-91e4-4520-bd99-4856938f8f7a"},}
64ae9bd8-5b3d-49cd-a026-e438e17df1f1.aspx
  
3780Eculizumab(Soliris®)andRelatedBiosimilars,Ravulizumab-cwvz(Ultomiris™)MA08.044hPharmacy (08)MA08.044hMA08.04464ae9bd8-5b3d-49cd-a026-e438e17df1f1Eculizumab (Soliris®) and Related Biosimilars, Ravulizumab-cwvz (Ultomiris™)Eculizumab (Soliris®) and Related Biosimilars, Ravulizumab-cwvz (Ultomiris™)
93ee35b6-d0d3-4c1a-b0e0-152e9dd153e8.aspx
  
3578Edaravone(Radicava®)MA08.092aPharmacy (08)MA08.092aMA08.09293ee35b6-d0d3-4c1a-b0e0-152e9dd153e8Edaravone (Radicava®)Edaravone (Radicava®)
8c9b2f4f-e061-48c5-8b0c-6da861903805.aspx
  
3675Efgartigimod-alfa(VyvgartTM)MA08.142aPharmacy (08)MA08.142aMA08.1428c9b2f4f-e061-48c5-8b0c-6da861903805Efgartigimod-alfa (VyvgartTM)Efgartigimod-alfa (VyvgartTM)
faaaec04-b9fb-4119-9362-7725b156db87.aspx
  
4017Eflapegrastim-xnst(Rolvedon™),Pegfilgrastim(Neulasta®)andRelatedBiosimilarsMA08.082iPharmacy (08)MA08.082iMA08.082faaaec04-b9fb-4119-9362-7725b156db87Eflapegrastim-xnst (Rolvedon™), Pegfilgrastim (Neulasta®) and Related BiosimilarsEflapegrastim-xnst (Rolvedon™), Pegfilgrastim (Neulasta®) and Related Biosimilars
{"4018": {"Id":4018,"MPAttachmentLetter":"A","Title":"EXAMPLES OF DISEASE SETTINGS AND CHEMOTHERAPY REGIMENS WITH A HIGH (>20%) OR INTERMEDIATE (10-20%) RISK FOR FEBRILE NEUTROPENIA","MPPolicyAttachmentInternalSourceId":6593,"PolicyAttachmentPageName":"ef81d4cd-efe9-4e4a-bb12-b87cbd538c23"},}
9c10b787-7936-43dc-85af-d1b5f8b51d28.aspx
  
3511ElectricalStimulationandElectromagneticStimulationfortheTreatmentofWoundsMA07.013dMedicine (07)MA07.013dMA07.0139c10b787-7936-43dc-85af-d1b5f8b51d28Electrical Stimulation and Electromagnetic Stimulation for the Treatment of WoundsElectrical Stimulation and Electromagnetic Stimulation for the Treatment of Wounds
{"3512": {"Id":3512,"MPAttachmentLetter":"A","Title":"ICD-10 Coding","MPPolicyAttachmentInternalSourceId":6285,"PolicyAttachmentPageName":"30a7a7ad-1cae-4a55-857c-5dcd42b5d7e4"},}
78280621-f992-4f8a-9825-368ec185cde4.aspx
  
3937ElectroconvulsiveTherapy(ECT)MA14.001Behavioral Health (14)MA14.001MA14.00178280621-f992-4f8a-9825-368ec185cde4Electroconvulsive Therapy (ECT)Electroconvulsive Therapy (ECT)
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