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1 de maio, 2025

IQ Updates

Effective 1 de julho, 2025, updates will be made in the online authorization tool for the following InterQual subsets:

CP: Procedures

  • Ablative or Transarterial Therapy, Liver
  • Artificial Disc Replacement, Cervical Subset
  • Arthroscopy or Arthroscopically Assisted Surgery, Shoulder
  • Arthrotomy, Shoulder
  • Decompression +/- fusion cervical 
  • Decompression +/- Fusion thoracic 
  • Fusion, Cervical Spine
  • Removal and Replacement or Revision, Joint Replacement, Shoulder
  • Scoliosis or Kyphosis Surgery
  • Scoliosis or Kyphosis Surgery (Pediatric)
  • Sleep Studies
  • Sleep Studies (Pediatric)

CP: Durable Medical Equipment

  • Bone Growth Stimulators, Noninvasive
  • Orthosis Upper Extremity/Stretching Devices, Upper Extremity

CP: Molecular Diagnostics subsets

  • Beta globin (HBB) testing for Beta-thalassemia and Sickle Cell Disease
  • Hereditary Cardiomyopathy
  • Lynch Syndrome (LS)
  • Multi-Gene Panels for Hereditary Colorectal Cancer Syndromes
  • Multi-Gene Panels for Hereditary Breast Cancer Syndromes
  • Pharmacogenomic testing in NSCLC