Other (Miscellaneous Categories)

Document Title Document Type Document Size Effective Date
Adjustable Continence Therapy - (0573)  PDF 284kB 09/15/2024
Ambulance Services - (0555)  PDF 226kB 08/15/2025
Cardiac Omnibus Codes - (0574)  PDF 495kB 08/15/2025
Cardiac Resynchronization Therapy (CRT) - (0174)  PDF 566kB 06/15/2025
Cardioverter-Defibrillator Devices - (0431)  PDF 594kB 07/15/2025
Category III Current Procedural Terminology (CPT®) Codes - (0558)  PDF 213kB 08/15/2025
Cigna Healthcare Medicare Advantage Coverage Policy Development and Application - (A018)  PDF 205kB 08/08/2025
Dental Implants - (0585) ---- future effective policy  PDF 226kB 12/01/2025
External Counterpulsation - (0058)  PDF 314kB 08/15/2025
Hearing Aids - (0093)  PDF 454kB 06/15/2025
Hospice Care - (0462)  PDF 262kB 02/15/2025
Tilt Table Testing - (0270)  PDF 673kB 12/15/2024
Transcranial Magnetic Stimulation - (EN0383)  PDF 679kB 03/15/2025