Attention
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ARCHIVED 2018 Recent Billing/Policy Update Articles
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Original Posting Date
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Diabetes Prevention Program |
December 2018 |
Physicians, Outpatient Hospitals, Clinics
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New Benefit: Chronic Care Management Services |
December 2018 |
Physicians, Outpatient Hospitals, Clinics
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New Benefit: EContra Emergency Contraceptive Services |
December 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: 2019 CPT Annual Update |
December 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: October 2018 HCPCS Quarterly Update |
December 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: EPSDT Home Health Services |
December 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: Revenue Codes for Outpatient Services |
December 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: Sign Language Interpreter Services |
December 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: Maternal Care Services and CPSP |
December 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: NICU/PICU Services
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December 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Updates: EPSDT Psychology, Mental & Behavioral Health |
December 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Depression Screenings |
November 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Diabetes Prevention Program |
November 2018 |
Physicians, Outpatient Hospitals, Clinics
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Rate Updates: Corrected Rates for Select HCPCS Codes |
November 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Updates: Cervical Cancer Screenings and HPV Testing |
November 2018
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DME Providers
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Policy Updates: Insulin Pumps |
November 2018
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DME Providers
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Policy Updates: CPAP and Bi-PAP Equipment |
November 2018
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DME Providers
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Policy Updates: Breast Pumps and Supplies |
November 2018
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DME Providers
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Billing Update: Disposable Insulin Delivery System |
November 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: TPMT Gene Analysis |
October 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: 2018 ICD-10-PCS Annual Update |
October 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: EPSDT Psychology, Mental Health and Behavioral Health |
October 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: Audiology, EPSDT Audiology and Speech Therapy |
October 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: Sign Language Interpreter Services |
October 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Rate Update: Newborn Screening Rate |
October 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Rate Update: Pathology Service Codes |
October 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Fetal Non-Stress Testing |
September 2018 |
Physicians, Outpatient Hospitals, Clinics
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New Benefit: April HCPCS Quarterly Update
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September 2018
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Physicians, Outpatient Hospitals, Clinics
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New Benefit: July HCPCS Quarterly Update
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September 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: Whole-Child Model Program |
September 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: 2018 ICD-10-CM Diagnosis Code Annual Update |
September 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: 2019 ICD-10-CM/PCS Diagnosis Code Annual Update
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September 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: Chemical Pathology |
September 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Automated Hemogram and RSV Laboratory Tests
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September 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Policy Update: TAR Update for Skin Substitute |
September 2018
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Anesthesiologist
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Policy Update: Dental Conscious and Deep Sedation
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September 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: Molecular Pathology Codes |
August 2018 |
Physicians, Outpatient Hospitals, Clinics
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Billing Update: EPSDT Home Health Code Conversion |
August 2018
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Physicians, Outpatient Hospitals, Clinics
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Policy Update: Self-Administered Hormonal Contraceptives |
August 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Infectious Agent Detection Laboratory Codes |
August 2018
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Transportation Providers
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Policy Update: Non-Emergency Medical Transportation |
August 2018
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Physicians, Outpatient Hospitals, Clinics
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New Benefit: Skin Substitutes (HCPCS codes Q4159 & Q4160) |
July 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Molecular Pathology (CPT-4 code 81310) |
July 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Clinic Dispensing for Miscellaneous Drugs |
July 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories |
Policy Update: HCPCS code G0433 Added to CIA-Waived List
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July 2018
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Physicians, Outpatient Hospitals, Clinics
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Policy Updates: Breast Pump Supplies |
July 2018 |
Physicians, Outpatient Hospitals, Clinics
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Policy Update: Copper Intrauterine Devices (IUDs) |
July 2018 |
Transportation Providers |
New Benefit: Non-Medical Transportation |
June 2018 |
Orthotics and Prosthetics Providers |
Policy Update: Cranial Remolding Orthosis (HCPCS code S1040) |
June 2018 |
Outpatient Hospitals
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Policy Update: Revenue Code Update for Outpatient Services
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June 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Molecular Pathology Codes |
June 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Lynch Syndrome Testing (CPT-4 code 81403)
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June 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Brest Oncology Profiled via RT-PCR (CPT-4 code 81519) |
June 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Clinical Laboratory Services |
June 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Policy Update: CPT-4 Codes Annual Update Correction |
June 2018 |
DME Providers |
Policy Update: DME for Disabled Parents to Assist with Child Care |
June 2018 |
DME Providers |
Policy Update: Power Wheelchair Nonstandard Set Frames (HCPCS codes E2340 - E2343) |
June 2018 |
DME Providers |
Policy Update: Power Seat Elevators |
June 2018 |
DME Providers |
Policy Update: Seating and Positioning Component Coverage |
June 2018 |
DME Providers |
Policy Update: Select Blood Pressure Equipment (HCPCS codes A4660 & A4663) |
June 2018 |
Transportation Providers |
Policy Update: Medical Transportation (Dry Runs) |
June 2018 |
Transportation Providers |
Policy Updates: Emergency Air and Ground Transportation |
June 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Rate Update: Newborn Screening (HCPCS code S3620) |
June 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Rate Update: Skin Substitute Products (HCPCS codes Q4131, Q4132 and Q4133) |
June 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Rate Update: Specified Apheresis Procedures |
June 2018 |
Primary Care Providers |
Rate Update: Preventative Medicine Evaluation and Management (CPT-4 codes 99385 & 99395) |
June 2018 |
Anesthesiologist
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Rate Update: Certain Anesthesia Services |
June 2018 |
Hospice Providers |
Rate Update: Hospice Care Providers |
June 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: PL and PS Modifier on Pathology Codes |
May 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: Revenue Codes for Outpatient Services |
May 2018
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Physicians, DME, Orthotics & Prosthetics, and Physical Therapy |
Billing Update: Updated Modifiers for Oxygen Codes |
May 2018
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Physicians, DME, Orthotics & Prosthetics, and Physical Therapy
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Billing Update: Updated Diagnosis Codes for Removable Foot Inserts |
May 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Clinical Criteria for DNA Sequence Analysis |
May 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories |
Policy Update: Clinical Criteria for Familial Hyperinsulinism Gene Analysis
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May 2018
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Physicians, DME, Orthotics & Prosthetics, and Physical Therapy
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Policy Update: Frequency limitation for Orthotic Codes |
May 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: FLT3 Gene Analysis (81245 and 81246) |
April 2018
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Physicians, Outpatient Hospitals, and Clinics
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Billing Update: Alcohol Misuse (G0442 and G0443) |
April 2018
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Physicians, Outpatient Hospitals, and Clinics, Transportation
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Billing Update: Non-Emergency Medical Transportation |
April 2018
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Hospice Providers
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Billing Update: Hospice Routine Home Care (0650, 0659 and 0552) |
April 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: HPV Testing and Co-Testing (87624 and 87625) |
April 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories |
Policy Update: Breast Cancer Gene Analysis (81162, 81211 and 81213) |
April 2018
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Physicians, Outpatient Hospitals, and Clinics
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Billing Update: Vitamin B-12 Injections (J3420) |
April 2018
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Physicians, Outpatient Hospitals, and Clinics
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Policy Update: Diclofenac Sodium Injection (J1130)
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April 2018
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Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Newborn Metabolic Screening Panel
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April 2018
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Physicians, Outpatient Hospitals, and Clinics
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Rate Update: Family Planning Drugs (J3490) |
April 2018
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Physicians, Outpatient Hospitals, and Clinics
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Proposition 56 Supplemental Payments |
April 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Additional Gene Tests Billable under Molecular Pathology CPT-4 codes (81406,81404 and 81405) |
March 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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New Benefit: Surgical Pathology (88365) |
March 2018
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Physicians, Outpatient Hospitals, and Clinics
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Policy Update: Nerve Pedicle Transfer (64905) |
March 2018 |
Physicians, Outpatient Hospitals, and Clinics, Transportation
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Policy Update: Medical Transportation Dry Runs (A0225) |
March 2018 |
Physicians, Outpatient Hospitals, and Clinics, Home Health Agencies
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Policy Update: Face to Face Encounters for Home Health Services |
March 2018 |
Physicians, DME, Orthotics & Prosthetics, and Physical Therapy
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Rate Update: Knee Orthosis Codes (L1851 and L1852)
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March 2018 |
ALL PROVIDERS
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2017 and 2018 CPT-4/HCPCS Update |
February 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Microsatellite Instability Analysis (81301) |
February 2018
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Physicians, DME, Orthotics & Prosthetics, and Physical Therapy
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Policy Update: Wheelchair and Scooter Repair and Maintenance |
February 2018
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ALL PROVIDERS
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Annual 2018 CPT-4/HCPCS Code Update |
January 2018 |
Physicians, Outpatient Hospitals, and Clinics
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New Benefit: Pulmonary Rehabilitation (G0424) |
January 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Upcoming Benefit: Diabetes Prevention Program |
January 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Policy Update: Mammography Codes 77065 and 77066 |
January 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Policy Update: Neuropsychological Testing |
January 2018 |
Physicians, Outpatient Hospitals, and Clinics
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Billing Update: Place of Service Code Update on Sleep Study and Polysomnography Codes |
January 2018 |
Physicians, Outpatient Hospitals, Clinics, Vision Providers, and Ophthalmologists
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Billing Update: Ophthalmic Biometry (92136) |
January 2018 |
Physicians, Outpatient Hospitals, Clinics, and Laboratories
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Billing Update: KIT Gene Analysis (81272) |
January 2018 |