Here are the latest updates to our payment policies. You’ll need to log in to see the policy updates.
January 1, 2020
Allergen Immunotherapy Unit LimitsClarified that the maximum yearly dose frequency for allergen immunotherapy is based on a rolling 12-month period which includes all provider code submissions.
Consultation Code ServicesAnnual review; no changes.
Contract Exclusions/Disallowed Charges-IP and OP Facility ServicesRemoved a statement in the “Pharmacy Charges” section of the policy which conflicted with the “Nursing Care” section.
Drugs Administered in a Physician OfficeAnnual Review; no changes.
Medicare Status B CodesAnnual Review; no changes.
Modifier 51Annual Review; no changes.
Multiple Diagnostic Ophthalmology Services ReductionAnnual Review; no changes.
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