Mitomycin, ophthalmic, 0.2 mg
Short Description: Ophthalmic mitomycin
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2013
Effective Date: January 1, 2016
Termination Date:
Short Description: Ophthalmic mitomycin
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2013
Effective Date: January 1, 2016
Termination Date: