Abstract: . . .  used. Medical Policy, which addresses medical efficacy, should be considered before utilizing medical opinion in adjudication. Medical technology is constantly evolving, and we reserve the right to review and update Medical Policy periodically. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from the health plan. CPT Only American Medical Association  . . .
. . .  Medical Policy & Technology Assessment Committee (MPTAC) review. Revised 04/28/2005 MPTAC review. Revision based on Policy Harmonization: Pre-merger Anthem and Pre-merger WellPoint. Updated coding; Noted deleted CPT codes 97780 and 97781 (effective 01/01/2005); added new CPT code range 97810-97814 (effective 01/01/2005) Pre-Merger Organizations Last Review Date Policy Number Title Anthem, Inc. 03/21/2003 MED.00001 Allergy Immunotherapy WellPoint Health Networks, Inc. 12/02/2004 8.12.02 Sublingual and Oral Immunotherapy 12/02/2004 2.01.20 Diagnosis and Management of Idiopathic Environmental Intolerance (Clinical Ecology) Federal and State law, as well as contract language, including definitions and specific contract provisions/exclusions, take precedence over Medical Policy and must be considered first in determining . . .
. . .  & Technology Assessment Committee (MPTAC) review. Revised 04/28/2005 MPTAC review. Revision based on Policy Harmonization: Pre-merger Anthem and Pre-merger WellPoint. Updated coding; Noted deleted CPT codes 97780 and 97781 (effective 01/01/2005); added new CPT code range 97810-97814 (effective 01/01/2005) Pre-Merger Organizations Last Review Date Policy Number Title Anthem, Inc. 03/21/2003 MED.00001 Allergy Immunotherapy WellPoint Health Networks, Inc. 12/02/2004 8.12.02 Sublingual and Oral Immunotherapy 12/02/2004 2.01.20 Diagnosis and Management of Idiopathic Environmental Intolerance (Clinical Ecology) Federal and State law, as well as contract language, including definitions and specific contract provisions/exclusions, take precedence over Medical Policy and must be considered first in determining eligibility . . .
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