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Other (Miscellaneous Categories)

Document Title Document Type Document Size Effective Date
Adjustable Continence Therapy - (0573)  PDF 291kB 09/15/2025
Ambulance Services - (0555)  PDF 226kB 08/15/2025
Cardiac Omnibus Codes - (0574)  PDF 495kB 08/15/2025
Cardiac Resynchronization Therapy (CRT) - (0174)  PDF 534kB 12/15/2025
Cardioverter-Defibrillator Devices - (0431)  PDF 594kB 07/15/2025
Category III Current Procedural Terminology (CPT®) Codes - (0558)  PDF 218kB 10/15/2025
Cigna Healthcare Medicare Advantage Coverage Policy Development and Application - (A018)  PDF 205kB 08/08/2025
External Counterpulsation - (0058)  PDF 314kB 08/15/2025
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions - (0004)  PDF 479kB 11/15/2025
Hearing Aids - (0093)  PDF 454kB 06/15/2025
Staff-Assisted Home Hemodialysis - (0229)  PDF 201kB 11/15/2025
Tilt Table Testing - (0270)  PDF 218kB 12/15/2025
Transcranial Magnetic Stimulation - (EN0383)  PDF 679kB 03/15/2025
Dec 16, 2025