| Articles |
Archived/Retired |
|---|
| Alteplase Recombinant (e.g., Cathflo® Activase ®) – Related to LCD L25820 |
12/31/08 |
| Apligraf ® – Related to LCD (L26003/A46092) |
12/31/08 |
| Apligraf –Related to LCD L26003 |
09/30/08 |
| Anterior segment scanning computerized ophthalmic diagnostic imaging (0187T) – Related to LCD L25275 (A48043) |
12/31/08 |
| Anterior segment scanning computerized ophthalmic diagnostic imaging (0187T) – Medical Policy Article |
09/24/08 |
Azacitidine (e.g., Vidaza ™) - Related to LCD L25820 |
12/31/08 |
| Azacitidine (e.g., Vidaza ™) - Related to LCD L25820 |
09/30/08 |
| Beta Glucocerebrosidase (Ceredase®/Cerezyme®) – Related to LCD L25820 |
12/31/08 |
| Bevacizumab (e.g., Avastin™) - Related to LCD L25820 |
12/31/08 |
| Bortezomib (e.g., Velcade®) – Related to LCD L25820 |
12/31/08 |
| Bortezomib (e.g., Velcade®) – Related to LCD L25820 |
09/30/08 |
| Carboplatin (Paraplatin®, Paraplatin-AQ®) – Related to LCD L25820 |
12/31/08 |
| Carboplatin (Paraplatin®, Paraplatin-AQ®) – Related to LCD L25820 |
09/30/08 |
Cardiac Rehabilitation Programs - (A45888) Note: This article is not applicable to Connecticut Part B. |
07/17/08 |
| Cardiac Rehabilitation Programs - (A45888) Note: This article is not applicable to Connecticut Part B. |
01/31/08 |
| Cardiac Rehabilitation Programs - (A45888) Note: This article is not applicable to Connecticut Part B. |
10/31/07 |
| Category III CPT® Code Coverage – Related to LCD L25275 (A46075) |
12/31/08 |
Decitabine (e.g., Dacogen™) – Related to LCD L25820 |
12/31/08 |
| Decitabine (e.g., Dacogen™) – Related to LCD L25820 |
09/30/08 |
| Denileukin Difitox (e.g., Ontak ®) – Related to LCD L25820 |
12/31/08 |
| Denileukin Difitox (e.g., Ontak ®) – Related to LCD L25820 |
09/30/08 |
| Dermagraft ® – Related to LCD (L26003/A46090) |
12/31/08 |
| Dermagraft ® – Related to LCD L26003 |
09/30/08 |
| Docetaxel (e.g., Taxotere®) – Related to LCD L25820 |
12/31/08 |
| Doxorubicin HCl – Related to LCD L25820 |
12/31/08 |
| Doxorubicin HCl – Related to LCD L25820 |
09/30/08 |
| Doxorubicin, Liposomal (Doxil) – Related to LCD L25820 |
12/31/08 |
| Doxorubicin, Liposomal (Doxil) – Related to LCD L25820 |
09/30/08 |
| Epirubicin (Ellence®) – Related to LCD L25820 |
12/31/08 |
| Etoposide (Etopophos®, Toposar®, Vepesid®, VP-16) – Related to LCD L25820 |
12/31/08 |
| Etoposide (Etopophos®, Toposar®, Vepesid®, VP-16) – Related to LCD L25820 |
09/30/08 |
| Etoposide (Etopophos®, Toposar®, Vepesid®, VP-16) – Related to LCD L25820 |
10/22/08 |
| Fluocinolone acetonide intravitreal implant– Related to LCD L25820 |
12/31/08 |
| Fulvestrant – Related to LCD L25820 |
12/31/08 |
| Gemcitabine Hydrochloride (e.g., Gemzar®) – Related to LCD L25820 |
12/31/08 |
| Ibandronate Sodium (e.g., Boniva®) – Related to LCD L25820 |
12/31/08 |
| Ifosfamide (Ifex) - Related to LCD L25820 |
12/31/08 |
| Ifosfamide (Ifex) - Related to LCD L25820 |
09/30/08 |
| Infliximab (e.g., Remicade™) – Related to LCD L25820 |
12/31/08 |
Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach (0192T) – Related to LCD L25275 (A48259) |
12/31/08 |
| Integra ® Dermal Regeneration Template, Integra ® Bilayer Matrix Wound Dressing – Related to LCD (L26003/A46085) |
12/31/08 |
| Integra ® Dermal Regeneration Template, Integra ® Bilayer Matrix Wound Dressing – Related to LCD (L26003/A46085)- |
09/30/08 |
| Intra-articular Injections of Hyaluronans (e.g.,Hyalgan ®, Supartz ®, Euflexxa™, Synvisc ®, Orthovisc ®) for the Treatment of Osteoarthritis of the Knee or Shoulder - Related to LCD L25820 |
12/31/08 |
| Intravenous Immune Globulin (IVIG) - Related to LCD L25820 |
12/31/08 |
| Intravenous Immune Globulin (IVIG) - Related to LCD L25820 |
09/30/08 |
| Intravenous Iron Therapy – Related to LCD L25820 |
12/31/08 |
| Irinotecan Hydrochloride (e.g., Camptosar®) - Related to LCD L25820 |
12/31/08 |
| Irinotecan Hydrochloride (e.g., Camptosar®) - Related to LCD L25820 |
09/30/08 |
| Medical Nutrition Therapy |
07/17/08 |
| Micafungin Sodium (e.g., Mycamine™) – Related to LCD L25820 |
12/31/08 |
| Mitomycin (Mutamycin®, Mitomycin-C) – Related to LCD L25820 |
12/31/08 |
| Mitomycin (Mutamycin®, Mitomycin-C) – Related to LCD L25820 |
09/30/08 |
| OASIS® Wound Matrix and Oasis® Burn Matrix – Related to LCD (L26003/A46082)- |
12/31/08 |
| OASIS ® Wound Matrix and Oasis® Burn Matrix – Related to LCD L26003 |
09/30/08 |
| Omalizumab (e.g., Xolair®) – Related to LCD L25820 |
12/31/08 |
| Oprelvekin (e.g., Neumega®) – Related to LCD L25820 |
12/31/08 |
| Oxaliplatin (e.g., Eloxatin®) - Related to LCD L25820 |
12/31/08 |
| Oprelvekin (e.g., Neumega®) – Related to LCD L25820 |
09/30/08 |
| Paclitaxel (e.g., Taxol®/Abraxane ™) - Related to LCD L25820 |
12/31/08 |
| Paclitaxel (e.g., Taxol®/Abraxane ™) - Related to LCD L25820 |
09/30/08 |
| Pamidronate Disodium for Injection (e.g., Aredia®) - Related to LCD L25820 |
12/31/08 |
| Pamidronate Disodium for Injection (e.g., Aredia®) - Related to LCD L25820 |
09/30/08 |
| Panitumumab (e.g., Vectibix ™) – Related to LCD L25820 |
12/31/08 |
| Ranibizumab (e.g., Lucentis™) – Related to LCD L25820 |
12/31/08 |
| Rituximab (Rituxan®) – Related to LCD L25820 |
12/31/08 |
| Rituximab (Rituxan®) – Related to LCD L25820 |
09/30/08 |
| Sentinel Lymph Node Biopsy - (A47181) Note: This article is not applicable to Connecticut Part B. |
07/17/08 |
| Temsirolimus (Torisel ™) – Related to LCD L25820 |
01/07/09 |
| Temsirolimus (Torisel ™) – Related to LCD L25820 |
12/31/08 |
| Temsirolimus (Torisel ™) – Related to LCD L25820 |
09/30/08 |
| Topotecan Hydrochloride (Hycamtin®) – Related to LCD L25820 |
12/31/08 |
| Topotecan Hydrochloride (Hycamtin®) – Related to LCD L25820 |
09/30/08 |
| Tositumomab and Iodine I 131 Tositumomab (e.g., Bexxar®) - Related to LCD L25820 |
12/31/08 |
Vinorelbine Tartrate (e.g., Navelbine®) - Related to LCD L25820 |
12/31/08 |
Zoledronic Acid (e.g., Zometa ®, Reclast® ) – Related to LCD L25820 |
12/31/08 |
| Zoledronic Acid (e.g., Zometa ®, Reclast® ) – Related to LCD |
09/30/08 |