| Medicare NCD | NCD 260.3.1 - Islet Cell Transplantation in the Context of a Clinical Trial | 2004-10-01 |
| Medicare NCD | NCD 20.15 - Electrocardiographic Services | 2004-08-26 |
| Medicare NCD | NCD 270.1 - Electrical Stimulation (ES) and Electromagnetic Therapy for the Treatment of Wounds | 2004-07-01 |
| Medicare NCD | NCD 150.9 - Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee | 2004-06-11 |
| Medicare NCD | NCD 160.23 - Sensory Nerve Conduction Threshold Tests (sNCTs) | 2004-04-01 |
| Wellcare North Carolina Medicaid Clinical | Hyperhidrosis Treatments | 2004-04-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Inpatient Only Procedures (CC.PP.018) | 2004-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Sleep Studies Place of Services (CC.PP.035) | 2004-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Status "P" Bundled Services (CC.PP.049) | 2004-03-01 |
| Ambetter Health Texas Superior Medicaid Clinical | Supplies Billed on Same Day As Surgery (CC.PP.032) | 2004-03-01 |