Clinical Payment and Coding Policy Updates

Nov. 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:  

  • CPCP007: Implant, Device, and Tissue Policy – Effective 10/8/24 
  • CPCP011: Applied Behavioral Analysis – Effective 10/28/24 

 

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