About this policy
CMS evidence review | evidence_type=Technology Assessment | record_type=technology_assessment | document_id=96 | year=2014
Coverage indications
Download Technology Assessment [PDF, 1MB]
Documentation requirements
Other Material: Other Material 1 Questions: Questions Technology Assessment: Download Technology Assessment [PDF, 1MB]
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.