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Payment policy
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Updates
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Assisted Reproductive Technology
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- Annual review
- Added billing scenarios for S4023
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Audiology
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- Annual coding update
- Added codes 92622 and 92623
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Diabetic Care
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- Annual coding update
- Added three new diabetes prevention program codes: G9886-G9888
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Durable Medical Equipment
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- Annual coding update
- Replaced deleted code K1005 with new code A4287
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Evaluation and Management
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- Annual coding update
- Added community health integration codes (G0019, G0022, G0136) as reimbursed for Medicare Advantage only
- Added principal illness navigation codes (G0023, G0024, G0140, G0146) as reimbursed for Medicare Advantage only
- Added G2211, visit complexity, as reimbursed for Medicare Advantage only
- 99238-9 billing correction
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Expanded Molecular Panel Testing of Cancers
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- Annual coding update
- Added new genomic sequence panel codes 81457-81459, 81462-81464
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Family Planning
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- Annual coding update
- Added code 99459, pelvic exam
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General Coding and Billing
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- Annual coding update
- Expanded range of Category III CPT codes and “M” measurement HCPCS codes
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Immunizations
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- Annual coding update
- Added vaccine codes 90679, 90589, 90623, 90683, 90380, and 90381
- Added RSV admin codes 96380-81
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Mental Health and Substance Use
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- Annual coding update
- Added code G0137 for Medicare Advantage only
- Added codes G0017 and G0018
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Non-Reimbursable Services
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- Annual coding update
- Updated new, revised, and deleted codes
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Obstetrical and Maternity Care
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- Annual coding update
- Added code 99459
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Oncology
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- Annual coding update
- Added codes 96457, 96458
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PT/OT- Independent Practice
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- Annual coding update
- Added January 1, 2024 codes 98975-98977, 98980-98981
- Added new codes 97550-97552
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Radiology- Multiple Imaging
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- Annual coding update
- Added existing codes 96803, 78802, 78803
- Added new 2024 codes 76984, 76987-76989, 0865T
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Speech Language Therapy
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- Annual coding update
- Added codes 97550-97552
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Surgery-Professional
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- Annual coding update
- Added codes 22836-22838
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Telehealth (Telemedicine) – Medical Services |
- Added code 97535 to list of face-to-face medical services eligible to be performed via telehealth
- Added code G2211 to list of face-to-face medical services eligible to be performed via telehealth for Medicare Advantage only
- Edited to clarify documentation requirements for telehealth
- Added January 1, 2024 reimbursement information about acute rehabilitation and long-term care hospital facility UB04 claim billing
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Telehealth (Telemedicine) – Mental Health |
- Added code 97535 to list of face-to-face medical services eligible to be performed via telehealth
- Added code G2211 to list of face-to-face medical services eligible to be performed via telehealth for Medicare Advantage only
- Edited to clarify documentation requirements for telehealth
- Added January 1, 2024 reimbursement information about acute rehabilitation and long-term care hospital facility UB04 claim billing
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