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Updated payment policies now available
October 2, 2024

This article is for all providers caring for our members

The following payment policies, updated in Q3 2024, are now available on Provider Central.

Payment policy Updates
Anesthesia
  • Updated obstetrical time caps
  • Added Frequency payment policy to references
Evaluation and Management
  • Removed 98970-2 from coding grid
Frequency
  • Added 01967, 01968, 86003, 92557, 92567, 95004, 95017, 95018, 95027, and 95052
General Coding and Billing
  • Updated compression stocking/garment information
  • Edited to clarify Wheelchairs/Mobility Assisted Devices information
Maximum Units
  • Annual review
  • Edited to clarify General Reimbursement Information section
  • Edited to clarify documentation requirements for appeal review
  • Edited to clarify ASA codes reimbursement
Non-Reimbursable Services  
  • Updated links for non-reimbursed lists for professional providers and facility providers

To download our payment policies, log in and click Find a Payment Policy on the right side of your home page. Or, go to Office Resources>Policies & Guidelines>Payment Policies.

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