EmblemHealth

Revised:

Medical Necessity Guidelines: Experimental, Investigational, or Unproven Services (EmblemHealth). New codes will be considered Experimental and investigational starting February 15, 2023.

Hyperbaric Oxygen Therapy (EmblemHealth and ConnectiCare)

Retired:

Prostatic Urethral Lift (EmblemHealth)

Intrastromal Corneal Ring Segments (EmblemHealth and ConnectiCare)