Payment Policy Updates November 2017

Here are the latest updates to our payment policies. You’ll need to log in to see the policy updates.

1. Elective Abortions – Facility Services
2. Elective Abortions-Professional Services
3. Modifier 26 - Professional Component
4. Modifier TC – Technical Component
5. Modifier GA – Waiver of Liability Issued as Required by Payer Policy
6. Serious Adverse Events
7. Urgent Care Center Codes – S9083/S9088
8. Contract Exclusions/Disallowed Charges-Inpatient
   Annual review; no changes made
9. Hospital or Hospital System Readmissions
   Added a new definition; made minor clarifications in language of first paragraph; added a new exception bullet
10. Consultation Code Services
    Provided the full code descriptions for the Inter-professional/Internet Consultation codes

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