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Notification of Medical Policy Revision for February 2023 February 01, 2023
Medical PolicyRevision
Mitral Valve Transcatheter Edge to Edge Repair

Annual Review 

CAG-00438R 

No CMS Updates; Minor Revisions only

Orthognathic Surgery

Annual Review 

Corporate Medical Policy: Orthognathic Surgery

LCD: L33738 

LCD: L33468 

LCA: A52463 

No CMS Updates; Added CPT codes 21085 and 21188 under applicable codes

Temporomandibular Joint Surgery

Annual Review 

Corporate Medical Policy: Temporomandibular Joint Dysfunction (TMJD) Treatment 

No CMS Updates; Minor Revisions only
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