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Medical Policy Upcoming Updates

Notification Date: August 17, 2022

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 Changes
Iris Prosthesis (Artificial Iris Devices. E.g., CustomFlex™)  New 10/17/2022 Investigative and therefore not covered  N/A
Date: 4/25/2024 6:17:57 PM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01