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RETIRED/REVISED LCDs View Policies View Retired Policies View LCD Draft Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). 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 . az02-0701 Urinalysis – FINAL – 07/01/01 az01-0793 Doppler Flow Testing - RETIRED 9/1/02 az01-0595 Surgical Dressings - RETIRED 9/1/02 az01-0696 Cerumen Removal Policy - RETIRED 7/02 az02-0897 Partial Hospitalization Program (PHP) - RETIRED 10/25/02 az01-1197 Observation Policy - RETIRED 9/1/02 az01-0298 Magnatherm Diathermy - RETIRED 9/1/02 az02-0298 High Freq Pulsed - RETIRED 9/1/02 az03-1098 Blood Counts - REVISED az01-0802 - RETIRED 09/15/02 az05-1098 Chest X-Ray - REVISED 9/1/03 az06-1098 Partial Thromboplastin - RETIRED 9/15/02 az07-1098 Vitamin B12 (Cyanocobalamin) Chemistry - REVISED AZ04-1202 az08-1098 Serum Potassium - REVISED 9/1/03 az04-1098 New/Established Mgmt - RETIRED 9/1/02 az03-0299 Transurethral Needle Ablation of the Prostate(TUNA) - RETIRED 06/01/03 az02-0299 Transurethral Microwave Thermotherapy - RETIRED 06/01/03 az05-1099 Occult Blood / Feces - RETIRED 9/15/02 az06-1099 Magnetic Resonance Angiography of Low Extrm - RETIRED 07/31/03 az09-1099 Serum Folic Acid - REVISED 9/1/03 az04-1099 Pulmonary Rehabilitation - RETIRED 01/02/03 az01-0100 Implantable Loop Recorder – RETIRED 07/31/03 az02-1100 Urine Bacterial Culture - RETIRED 9/15/02 az04-1100 Clinical Lab Thyroid - RETIRED 9/15/02 az01-0201 Bone Mineral Density - RETIRED 9/1/02 az01-0802 Blood Counts – REVISION - RETIRED 9/15/02 az01-0699 Respiratory Services - RETIRED 6/30/04 az08-1299 Erythropoietin - RETIRED 6/30/04 az03-1101 Application of Bilaminate Skin Substitutes - RETIRED 6/30/04 az01-0803 Colonoscopy – CONVERTED TO LCD on 09/16/04 az02-0903 Chest X – Ray (CXR) – CONVERTED TO LCD on 09/18/04 az04-0903 Serum Folic Acid (Folate) – CONVERTED TO LCD on 11/22/04 az03-0903 Serum Potassium (K+) – CONVERTED TO LCD on 11/22/04 az04-1202 Serum Vitamin B12 (Cyanocobalamin) Chemistry – CONVERTED TO LCD on 11/22/04 az02-1102 Intravenous Immune Globulin – REVISED 11/22/04 az02-1102 Intravenous Immune Globulin – CONVERTED TO LCD on 1/22/05 az05-1003 Pathological Painful Toenails – RETIRED 3/2005 az04-1099 Pulmonary Rehabilitation – CONVERTED TO LCD on 5/2005 az04-1202 Vitamin B12 (Cyanocobalamin) Chemistry – REVISED 11/22/04 az02-1102 Intravenous Immune Globulin – REVISED 11/22/04

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