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May 2012

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Durable Medical Equipment (DME)

Ultraviolet Light Therapy

Coverage has been expanded to include the following conditions:

  • Lichen Planus
  • Mycosis Fungoides
  • Pityriasis Lichenoides
  • Puritis of Hepatic Disease

Experimental/Investigative Services Medicine

Optical Coherence Tomography in Coronary Artery Imaging

No coverage will be provided for optical coherence tomography as this is considered investigational in the following situations:

  1. When used as an adjunct to percutaneous coronary interventions with stenting, and
  2. In all other situations, including but not limited to, risk stratification of intracoronary atherosclerotic plaques and follow-up evaluation of stenting.