Updated payment policies now available
October 2, 2026
The following payment policies, updated in Q3 2026, are now available on Provider Central.
| Payment policy |
Updates |
| CPT and HCPCS Modifiers |
- Updated JZ billing requirements to align with industry standard billing when there are no discarded amounts of a single-dose container drug and/or biological, including NOC and unlisted codes, and no JW modifier amount is reported
|
| Dialysis |
- Annual review; no changes
|
| Drug Wastage |
- Updated JZ billing requirements to align with industry standard billing when there are no discarded amounts of a single-dose container drug and/or biological, including NOC and unlisted codes, and no JW modifier amount is reported
- Updated billing and coding scenario example 2
|
| Durable Medical Equipment |
- Revised code description for L8035
|
| Early Intervention |
- Corrected code description for H2015
- Updated title of Autism policy to Applied Behavior Analysis policy
|
| Expanded Molecular Panel Testing of Cancers |
- Added end date to code 0585U
- Added new code 0696U
|
| General Coding and Billing |
- Updated JZ billing requirements to align with industry standard billing when there are no discarded amounts of a single-dose container drug and/or biological, including NOC and unlisted codes, and no JW modifier amount is reported
- Updated Category III range to 1111T
|
| Newborn and Neonatal Intensive Care Services |
- Annual review; updated template
|
Download our payment policies.
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.