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ec 200407 RevA . E T X 6 8 0 - 24- T S O L I T H I U M B A T T E R Y Revision Log Rev Description Date New Created New 11/6/2020 A Revised to coordinate with ICA ... Policy: 200407 Effective Date: 11/01/2023 SUBJECT: In Utero Fetal Surgery -Vesicoamniotic Shunting -Pulmonary Lobectomy -Thoracoamniotic Shunt Placement -Removal of Sacrococcygeal Teratoma -Repair of Myelomeningocele -Fetoscopic endoluminal tracheal occlusion (FETO) Annual Review Date: 09/22/2023 Last Revised Date: 09/22/2023

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