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Other (Miscellaneous Categories)

Document Title Document Type Document Size Effective Date
Adjustable Continence Therapy - (0573)  PDF 313kB 09/15/2026
Atrial Fibrillation: Nonpharmacological Treatments - (0469) ---- future effective policy  PDF 429kB 01/15/2027
Cardiac Omnibus Codes - (0574)  PDF 572kB 09/15/2026
Cardiac Resynchronization Therapy (CRT) - (0174)  PDF 534kB 12/15/2025
Cardioverter-Defibrillator Devices - (0431)  PDF 853kB 07/15/2026
Category III Current Procedural Terminology (CPT®) Codes - (0558)  PDF 216kB 09/15/2026
External Counterpulsation - (0058)  PDF 299kB 05/15/2026
Extracorporeal Shock Wave Therapy (ESWT) for Musculoskeletal Conditions - (0004)  PDF 479kB 11/15/2025
Fixed Wing Air Ambulance Transport - (0555)  PDF 166kB 08/15/2026
Hearing Aids - (0093)  PDF 454kB 05/15/2026
Staff-Assisted Home Hemodialysis - (0229)  PDF 201kB 11/15/2025
Tilt Table Testing - (0270)  PDF 218kB 12/15/2025
Transcranial Magnetic Stimulation - (EN0383)  PDF 697kB 03/15/2026
Oct 12, 2026