| Issue Date | Medical Pre-Certification Criteria Documents |
|---|---|
| Feb 25, 2008 | CT Cervical Spine |
| Feb 25, 2008 | CT Chest |
| Feb 25, 2008 | CT Head and Brain |
| Feb 25, 2008 | CT Lumbar Spine |
| Feb 25, 2008 | CT Thoracic Spine |
| Feb 25, 2008 | MRI Cervical Spine |
| Apr 03, 2007 | MRI Chest |
| Feb 25, 2008 | MRI Head and Brain |
| Feb 25, 2008 | MRI Lumbar Spine |
| Feb 25, 2008 | MRI Thoracic Spine |
02/25/08
