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Response to Comments: Botulinum Toxin Type A & Type B (DL34635)
A58907
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: November 14, 2021
Updated: December 31, 2025
Policy Summary
This document (A58907) is a response to comments regarding Draft LCD DL34635 and does not itself state coverage indications, limitations, documentation requirements, or frequency limits for Botulinum Toxin Type A or B. For actionable coverage criteria, limitations, required documentation, and frequency limits, consult the final Local Coverage Determination DL34635 and related policy documents; manual review of DL34635 is required.
Coverage Criteria Preview
Key requirements from the full policy
"No coverage indications are stated in this document; it is a response to comments. Refer to Local Coverage Determination DL34635 for complete covered indications for Botulinum Toxin Type A & B."
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