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Medical Policy Upcoming Updates

Notification Date: October 20, 2021

Below are the policies that are new or have been reviewed, along with the determination and summary of any changes.

Coverage Policies

Policy Title
Status
Effective Date
Determination
Summary of Change
Stem Cell and Cellular Bone Matrix Products for Orthopedic Applications Re-Reviewed 12/20/2021 Investigative and therefore not covered Added amniotic products to the list of products that are considered investigative.



The updated clinical policies and guidelines above will be available as of their effective date, as noted. View policies and guidelines.

To request paper copies of a policy, please leave a message at the Medica Provider Literature Request Line: 1-800-458-5512, option 1, then option 8, then ext. 2-2355.

Where information conflicts with applicable state and/or federal law, Medica follows such applicable federal and/or state law.


Date: 4/20/2024 9:13:42 AM Version: 4.0.30319.42000 Machine Name: PWIVE-CDWEB01