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Investigational Codes
CPT and HCPCS codes that are considered by Regence
to be investigational and therefore ineligible for
benefits are listed below. Other codes on the Clinical
Edit List that are identified as potentially
investigational will require submission of documentation
to determine eligibility for benefits. Regence considers
the following codes to be investigational for commercial
products (excluding Medicare).
Effective September 1, 2008 |
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Effective August 1, 2008 |
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Effective July 1, 2008 |
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Effective June 1, 2008 |
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Effective May 1, 2008 |
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Effective April 1, 2008 |
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Effective March 1, 2008 |
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Effective February 1, 2008 |
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Effective January 1, 2008 |
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Effective December 1, 2007 |
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| Effective November 5, 2007 |
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The term "investigational" means that the medical technology does not meet Regence's technology assessment criteria. If any one or more of the criteria are not met, the technology will be determined to be investigational. In addition, all services specifically associated with the investigational technology, including but not limited to associated procedures, treatments, supplies, devices, equipment, facilities or drugs, will also be considered investigational. Learn more about Regence Medical Policy for Investigational Services and Supplies.
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