Clinical Payment and Coding Policies — Archive

 

 

Anesthesia Clinical Payment and Coding Information Policy Number Effective Date End Date
Anesthesia Clinical Payment and Coding Information CPCP010 9/13/2021 9/1/2022
Anesthesia Clinical Payment and Coding Information CPCP010 4/3/2020 9/12/2021
Applied Behavior Analysis Policy Number Effective Date End Date
Applied Behavior Analysis CPCP011 11/25/2020 11/8/2021
Chiropractic Services Policy Number Effective Date End Date
Chiropractic Services CPCP016 9/25/2020 12/31/2021
Coordinated Home Care/Private Duty Nursing Policy Number Effective Date End Date
Coordinated Home Care /Private Duty Nursing Policy Guideline CPCP005 9/25/2020 10/7/2021
Co-Surgeon/Team Surgeon Modifiers Policy Number Effective Date End Date
Co-Surgeon/Team Surgeon Modifiers CPCP009 10/5/2021 10/26/2022
Co-Surgeon/Team Surgeon Modifiers CPCP009 9/16/2020 10/4/2021
Drug Testing Clinical Payment and Coding Policy Policy Number Effective Date End Date
Drug Testing Clinical Payment and Coding Policy CPCP020 9/4/2020 12/28/2021
Evaluation and Management (E/M) Services Coding – Facility Services Policy Number Effective Date End Date
Evaluation and Management (E/M) Services Coding – Facility Services CPCP003 11/6/2020 11/30/2021
Evaluation and Management (E/M) Coding – Professional Provider Policy Number Effective Date End Date
Evaluation and Management (E/M) Coding – Professional Provider CPCP024 12/7/2020 12/22/2021
Global Surgical Package Policy Number Effective Date End Date
Global Surgical Package CPCP014 5/11/2021 2/28/2022
Global Surgical Package CPCP014 5/1/2020 5/10/2021
Hernia Repair Policy Number Effective Date End Date
Hernia Repair CPCP012 6/18/2021 4/21/2022
Hernia Repair CPCP012 5/29/2020 6/17/2021
Increased Procedural Services (Modifier 22) Policy Number Effective Date End Date
Increased Procedural Services (Modifier 22) CPCP013 5/1/2021 2/23/2022
Increased Procedural Services (Modifier 22) CPCP013 4/2/2020 4/30/2021
Inpatient Readmissions Policy Number Effective Date End Date
Inpatient Readmissions CPCP027 3/1/2020 11/30/2021  
Inpatient/Outpatient Unbundling Policy Policy Number Effective Date End Date
Inpatient/Outpatient Unbundling Policy CPCP002 12/4/2020 12/15/2021
Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline Policy Number Effective Date End Date

Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline
CPCP032 7/30/2021 4/21/2022

Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline
CPCP032 7/20/2021 7/29/2021
Laboratory Panel Billing Policy Number Effective Date End Date
Laboratory Panel Billing CPCP021 7/30/2021 4/5/2022
Laboratory Panel Billing CPCP021 5/5/2020 7/29/2021
Medical Record Documentation Guideline Policy Number Effective Date End Date
Medical Record Documentation Guideline CPCP029 9/22/2021 9/15/2022
Medical Record Documentation Guideline CPCP029 4/1/2021 9/21/2021
Medical Record Documentation Guideline CPCP029 3/1/2020 3/31/2021
Modifier Reference Guideline Policy Policy Number Effective Date End Date
Modifier Reference Guideline CPCP023 4/1/2021 5/12/2022
Multiple Surgical Procedures Policy Number Effective Date End Date
Multiple Surgical Procedures CPCP015 8/24/2021 6/23/2022
Multiple Surgical Procedures CPCP015 7/7/2020 8/23/2021
Neonatal Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement Policy Policy Number Effective Date End Date
Neonatal Intensive Care Unit (NICU) Level of Care Authorization and Reimbursement Policy CPCP004 5/27/2020 12/12/2021
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) Policy Number Effective Date End Date
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) CPCP028 4/1/2022 7/31/2022
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) CPCP028 8/15/2021 3/31/2022
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) CPCP028 12/1/2020 8/14/2021
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) CPCP028 9/1/2020 11/30/2020
Observation Services Tool For Applying MCG Care Guidelines Policy Number Effective Date End Date
Observation Services Tool for Applying MCG Care Guidelines CPCP001 5/26/2020 7/19/2021
Outpatient Facility and Hospital Claims: Revenue Codes Requiring CPT or HCPCS Codes Policy Number Effective Date End Date
Outpatient Facility and Hospital Claims: Revenue Codes Requiring CPT or HCPCS Codes CPCP018 12/1/2021 10/26/2022
Outpatient Facility and Hospital Claims: Revenue Codes Requiring CPT or HCPCS Codes CPCP018 10/30/2020 11/30/2021
Outpatient Facility and Hospital Claims: Revenue Codes Requiring CPT or HCPCS Codes CPCP018 6/16/2020 10/29/2020
Paravertebral Facet Injection Procedure Coding & Billing Policy Policy Number Effective Date End Date
Paravertebral Facet Injection Procedure Coding & Billing Policy CPCP036 10/14/2021 11/1/2021
Pneumatic Compression Devices Policy Number Effective Date End Date
Pneumatic Compression Devices CPCP022 9/1/2020 12/9/2021
Point-of-Care Ultrasound Examination Guideline Policy Number Effective Date End Date
Point-of-Care Ultrasound Examination Guideline CPCP030 6/4/2021 2/23/2022
Point-of-Care Ultrasound Examination Guideline CPCP030 5/28/2020 6/3/2021
Preventive Services Policy Policy Number Effective Date End Date
Preventive Services Policy CPCP006 9/1/2022 9/30/2022
Preventive Services Policy CPCP006 7/1/2022 8/31/2022
Preventive Services Policy CPCP006 4/1/2022 6/30/2022
Preventive Services Policy CPCP006 1/1/2022 3/31/2022
Preventive Services Policy CPCP006 10/1/2021 12/31/2021
Preventive Services Policy CPCP006 7/1/2021 9/30/2021
Preventive Services Policy CPCP006 4/1/2021 6/30/2021
Preventive Services Policy CPCP006 1/15/2021 3/31/2021
Preventive Services Policy CPCP006 10/1/2020 1/14/2021
Preventive Services Policy CPCP006 7/1/2020 9/30/2020
Preventive Services Policy CPCP006 4/1/2020 6/30/2020
Preventive Services Policy CPCP006 1/1/2020 3/31/2020
Psychological and Neuropsychological Testing Policy Number Effective Date End Date
Psychological and Neuropsychological Testing CPCP008 4/1/2021 10/30/2022
Psychological and Neuropsychological Testing CPCP008 3/4/2020 3/31/2021
Trauma Activation Policy Number Effective Date End Date
Trauma Activation - Facility Services CPCP031 5/11/2021 2/23/2022
Trauma Activation - Facility Services CPCP031 5/8/2020 5/10/2021
Unbundling Professional Policy Number Effective Date End Date
Unbundling Professional CPCP034 8/4/2021 8/4/2022
Unlisted/Not Otherwise Classified (NOC) Coding Policy Number Effective Date End Date
Unlisted/Not Otherwise Classified (NOC) Coding CPCP035 9/21/2021 9/1/2022
Wasted/Discarded Drugs and Biologicals Guideline Policy Number Effective Date End Date
Wasted/Discarded Drugs and Biologicals Guideline CPCP017 10/26/2021 12/20/2021
Wasted/Discarded Drugs and Biologicals Guideline CPCP017 9/11/2020 10/25/2021

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