ArticleActive
Response to Comments: Proton Beam Therapy
A55313
Effective: October 24, 2016
Updated: December 31, 2025
Policy Summary
This record (A55313) indicates receipt of comments on the draft Proton Beam Therapy policy DL36658 with an effective date of 2016-10-24, but the full policy text was not supplied. Specific coverage indications, limitations, documentation requirements, and frequency limits cannot be extracted from the provided metadata; manual review and the complete policy document are required to produce structured criteria.
Coverage Criteria Preview
Key requirements from the full policy
"Full policy text for Proton Beam Therapy (DL36658) not provided; cannot extract required documentation items (medical records, prior authorizations, forms)."
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