Medical Policy Updates

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Notification of Policy Revisions Effective January 01, 2022 (Posted November 02, 2021)

Medical Policy Revision
Perirectal Spacer Use During Radiotherapy for Prostate Cancer Under “When Not Covered” section: added “including use with brachytherapy monotherapy” to the investigational statement. Medical Director review 10/2021. Notification given 11/02/21 for effective date 1/1/22.