Medical Policy Review (Nov. 2024)

Posted on November 11, 2024

Treatment for Varicose Veins and Venous Insufficiency

• Annual Review
• InterQual criteria adopted for commercial lines of business.
• CPT 36482 and 36483 status changed from non-covered to covered with PA for commercial line of business.
• CPT code 36473 and 36734 changed from non-covered to covered with PA for commercial line of business. InterQual to be followed for these codes.
• References updated.

Dental Anesthesia and Procedures

• Annual Review
• Reference to LCA A59543 removed as it retired effective 1/1/2024 with no replacement.
• Section I-II Adult and pediatric indications consolidated and indications updated for improved clarity.
• Section IV- VII (previously section III) Medicare Coverage section updated.
• Section IV moved to section III.

Categories: Provider Newsletter