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Criteria: , Region: |
Change Criteria |
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| Articles |
Effective Date |
|---|
| Medical Nutrition Therapy (MNT) Services - Revised (posted 08/06/2008) | 07/18/08 |
| Anterior Segment Scanning Computerized Ophthalmic Diagnostic Imaging (0187T) – Medical Policy Article (A48043) (Corrected) |
09/25/08 |
| Apligraf –Related to LCD L26003 |
10/01/08 |
| Azacitidine (e.g., Vidaza ™) - Related to LCD L25820 |
10/01/08 |
| Bortezomib (e.g., Velcade®) – Related to LCD L25820 |
10/01/08 |
| Carboplatin (Paraplatin®, Paraplatin-AQ®) – Related to LCD L25820 |
10/01/08 |
| Cardiac Rehabilitation Programs - (A45888) |
07/18/08 |
| Decitabine (e.g., Dacogen™) – Related to LCD L25820 |
10/01/08 |
| Denileukin Difitox (e.g., Ontak ®) – Related to LCD L25820 |
10/01/08 |
| Dermagraft ® – Related to LCD L26003 |
10/01/08 |
| Doxorubicin HCl – Related to LCD L25820 |
10/01/08 |
| Doxorubicin, Liposomal (Doxil) – Related to LCD L25820 |
10/01/08 |
| Etoposide (Etopophos®, Toposar®, Vepesid®, VP-16) – Related to LCD L25820 |
10/23/08 |
| Ifosfamide (Ifex) - Related to LCD L25820 |
10/01/08 |
| Article for Insertion of Anterior Segment Aqueous Drainage Device, without Extraocular Reservoir, External Approach (0192T) – Medical Policy Article (A48259) |
11/14/08 |
| Integra ® Dermal Regeneration Template, Integra ® Bilayer Matrix Wound Dressing – Related to LCD L26003 |
10/01/08 |
| Intravenous Immune Globulin (IVIG) - Related to LCD L25820 |
10/01/08 |
| Irinotecan Hydrochloride (e.g., Camptosar®) - Related to LCD L25820 |
10/01/08 |
| Mitomycin (Mutamycin®, Mitomycin-C) – Related to LCD L25820 |
10/01/08 |
| OASIS ® Wound Matrix and Oasis® Burn Matrix – Related to LCD L26003 |
10/01/08 |
| Oprelvekin (e.g., Neumega®) – Related to LCD L25820 |
10/01/08 |
| Paclitaxel (e.g., Taxol®/Abraxane ™) - Related to LCD L25820 |
10/01/08 |
| Pamidronate Disodium for Injection (e.g., Aredia®) - Related to LCD L25820 |
10/01/08 |
| Rituximab (Rituxan®) – Related to LCD L25820 |
10/01/08 |
| Sentinel Lymph Node Biopsy - (A47181) |
07/18/08 |
| Temsirolimus (Torisel ™) – Related to LCD L25820 |
10/01/08 |
| Topotecan Hydrochloride (Hycamtin®) – Related to LCD L25820 |
10/01/08 |
| Zoledronic Acid (e.g., Zometa ®, Reclast® ) – Related to LCD |
10/01/08 |
Page last modified: 11/18/2008
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