Oct. 7, 2024
Clinical Payment and Coding Policies describe payment rules and methodologies for Current Procedural Terminology (CPT®) codes, Healthcare Common Procedure Coding System and ICD-10 coding for claims submitted as covered services. This information is a resource for our payment policies. It’s not intended to address all reimbursement-related issues. We regularly add and modify clinical payment and coding policy positions as part of our ongoing policy review process.
The following policies were updated:
- CPCP006: Preventive Services Policy – Effective 10/1/24
- CPCP032: Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Policy – Effective 10/3/24
- CPCP035: Unlisted/Not Otherwise Classified (NOC) Coding Policy – Effective 9/13/24
- CPCP042: Emergency Department Evaluation and Management (E/M) Services Coding - Professional Services – Effective 10/3/24
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