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Medical Policy Updates for February 2023

February 01, 2023
Medical PolicyRevision
Mitral Valve Transcatheter Edge to Edge Repair (PDF)
  • Annual Review CAG-00438R
  • No CMS Updates; Minor Revisions only
Orthognathic Surgery (PDF)
  • 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 (PDF)
  • Annual Review
  • Corporate Medical Policy: Temporomandibular Joint Dysfunction (TMJD) Treatment
  • No CMS Updates; Minor Revisions only

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