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Reviews

View current pre-payment specific service specific review notifications, required documentation, resources used in reviews and current findings. For questions, concerns or to obtain specific results for your facility, follow the instructions on our Request My Results from Medical Review webpage.

Inpatient Rehabilitation Facility (IRF) Services

Review Criteria Service Specific Review Notification Current Review Results
Inpatient Rehabilitation Services
CA and NV

Outpatient Services

Review Criteria Service Specific Review Notification Current Review Results
J0897: Outpatient Drug - Denosumab
CA and HI

Skilled Nursing Facility (SNF)

Review Criteria Service Specific Review Notification Current Review Results
SNF Demand with TOB 21x, Condition Code 20
CA, NV, HI and Territories

Last Updated Mar 24, 2017

CPT and ADA End User License Agreement for Providers

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement. Read the copyright statement now and you will be linked back to here.

CPT codes, descriptors and other data only are copyright 2014 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS apply.

Last Updated Feb 03, 2015