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Non-Medicare Injectable Drugs Requiring Prior ...
Generic Name Brand Name J Codes Max J code unit per year Coverage Criteria 17α-hydroxy-progesterone caproate (17P) Makena; compounded products Q9985 Q9986, J1726, ... that only responders to induction therapy continue with longer term maintenance therapy. Limit dosing to induction dosing of 160mg week 0, 80 mg week 2, then 40 mg every 2 ...
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Coding Guidelines for Preventive Care Services …
provider.ghc.orgCoding Guidelines for Preventive Care Services Commercial (Non-Medicare) Kaiser Permanente Plans Page 1 of 20 EXPLANATION: In accordance with the Patient Protection and Affordable Care Act (commonly referred to as
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provider.ghc.orgLow level laser therapy (LLLT) is a light source treatment that generates light of a single wavelength and is thought to promote tissue regeneration, reduced inflammation, and relieve pain. Unlike many other medical laser
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provider.ghc.orgClinical Review Criteria Electroconvulsive Therapy (ECT) NOTICE: ... Electroconvulsive therapy (ECT) is a procedure where electrodes are positioned on the patient’s scalp, and a measured electrical current is passed through to the brain, inducing generalized seizure activity. ECT is typically
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