Here are the latest updates to our payment policies. You’ll need to log in to see the policy updates.
August 2, 2018
Modifier JW – Drug Amount Discarded/Not Administered to Any Patient
Added clarification on how to bill for wasted infusion drugs after the drug has started to be infused and the patient develops an adverse reaction to the infusion drug
Ambulatory Surgery Center (ASC) Facility Services
Revised instructions on how to correctly bill for ambulatory surgery center services by using the Place of Service Code 24-Ambulatory Surgery Center and the Modifier SG-Ambulatory surgery center (ASC) facility service
Drug Assay Services
A definition of “drug classes” was added. Corrected a transposition of numbers in code 0002U to 0020U. Removed terminated codes
Preadmission Testing (changes effective 11/02/2018 process dates)
Expanded the policy to include hospital systems. Added Revenue Codes associated with the Exceptions in the policy