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Medical Coverage Policy

Reimbursement Policies

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REIMBURSEMENT POLICIES

Reimbursement reimb-002 Urine Drug Testing in the Outpatient Setting July 10, 2023 July 10, 2023 July 10, 2024
Reimbursement reimb-028 After-Hours Codes Coverage March 29, 2023 March 29, 2023 March 29, 2024
Reimbursement REIMB-037 Billing for Gender Discordant Claims March 25, 2023 January 25, 2023 January 25, 2024
Reimbursement REIMB-036 Clinical Trials March 25, 2023 January 25, 2023 January 25, 2024
Reimbursement reimb-020 Custom Diabetic Shoes December 07, 2022 December 07, 2022 December 07, 2023
Reimbursement reimb-030 Durable Medical Equipment (DME) Supplies September 27, 2023 September 27, 2023 September 27, 2024
Reimbursement reimb-035 External Breast Prosthetics January 25, 2023 January 25, 2023 January 25, 2024
Reimbursement reimb-029 Global Maternity Care July 31, 2023 July 31, 2023 July 31, 2024
Reimbursement reimb-010 Home Health Aide Services March 29, 2023 March 29, 2023 March 29, 2024
Reimbursement reimb-016 Intrathecal or Epidural Pump Refill March 29, 2023 March 29, 2023 March 29, 2024
Reimbursement reimb-014 Modifier -25 June 10, 2023 June 10, 2023 June 10, 2024
Reimbursement reimb-021 Modifiers 54, 55, 56 June 10, 2023 June 10, 2023 June 10, 2024
Reimbursement reimb-033 Modifier -63 May 24, 2023 May 24, 2023 May 24, 2024
Reimbursement reimb-006 Modifier -78 December 07, 2022 December 07, 2022 December 07, 2023
Reimbursement reimb-022 Modifier -90 Reference (Outside) Laboratory June 10, 2023 June 10, 2023 June 10, 2024
Reimbursement reimb-031 Multiple Procedure Guidelines for Ambulatory Surgical Centers March 29, 2023 March 29, 2023 March 29, 2024
Reimbursement reimb-032 Multiple Procedure Guidelines for Outpatient Hospital Claims March 29, 2023 March 29, 2023 March 29, 2024
Reimbursement reimb-034 Multiple Procedure Payment Reduction (MPPR) July 31, 2023 July 31, 2023 July 31, 2024
Reimbursement reimb-007 Next Generation Sequencing (NGS) Genetic Testing August 23, 2023 August 23, 2023 August 23, 2024
Reimbursement reimb-024 Non-residential Opioid Treatment Facility (Place of Service 58) July 31, 2023 July 31, 2023 July 31, 2024
Reimbursement reimb-025 OB Anesthesia October 30, 2023 October 30, 2023 October 30, 2024
Reimbursement reimb-015 Oral Appliances for Obstructive Sleep Apnea June 10, 2023 June 10, 2023 June 10, 2024
Reimbursement reimb-026 Prolonged Services January 01, 2023 January 01, 2023 January 01, 2024
Reimbursement reimb-009 Preventative Care Screening December 28, 2022 October 28, 2022 October 28, 2023
Reimbursement reimb-011 Routine Foot Care March 29, 2023 March 29, 2023 March 29, 2024
Reimbursement reimb-012 Sources for Coding Determinations July 31, 2023 July 31, 2023 July 31, 2024
Reimbursement reimb-018 UC Modifier October 30, 2023 October 30, 2023 October 30, 2024
Reimbursement reimb-013 Developmental Screening and Testing Guidelines October 03, 2023 August 03, 2023 August 03, 2024