To view the current version of this medical policy, please click the link below:
To view previous versions of this policy that are now expired, please click on the links below:
|Rev#:||Date:||Nature of Change:|
|1.0||03/11/2013||Replaced the 90-day notice version with the new, current version of this policy.|
|1.1||10/04/2013||Move the previous version into the "previous" section and added a link to the current version of this policy.|
|1.2||10/29/2014||Added a link to the 90-day notice version of this policy.|
|1.3||03/03/2015||Removed the 90-day notice version and replaced with a clean and current version effective 3/1/2015.|
|1.4||02/29/2016||Added a link to the new 90-day notice version of this policy, effective 7/1/16.|
|1.5||02/29/2016||Added a link to the new, current policy (which replaced the 90-day notice) and moved the expired policy into the “previous” section. The 90-day notice policy was removed. Revised title of page to reflect the revised policy name from Endovascular Procedures (Angioplasty and/or Stenting) for Intracranial Arterial Disease (Atherosclerosis and Aneurysms) to Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms).|
|1.6||09/30/2017||Added a link to the clean, current policy (6/23/17) and moved the expired policy into the “previous” section.|
|1.7||07/30/2018||Added a new link to the new 90-day notice version of this policy, effective 11/01/2018.|
|1.8||10/26/2018||Added a new link to the clean, current policy (effective 11/1/2018) which replaced the 90-day notice and moved the expired policy into the “previous” section. The 90-day notice policy was removed.|
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