Medical Policy Updates

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Notification of Policy Revisions Effective July 28, 2021 (Posted May 18, 2021)

Medical Policy Revision
Bundling Guidelines "Notification" Policy format update. Added section Correct Coding Initiative. Clarified Casting Application /Strapping section. Updated Administration Fee for injectable(s) section to require drug or substance code be filed with administration. Added “CPT codes 96372-96379 are considered incidental to evaluation & management services, regardless of modifier usage, when performed in the following places of service (POS): 19, 21, 22, 23, 24, 26, 51, 52, and 61.” Policy notification given 5/18/2021 for effective date 7/28/2021.
Outpatient Code Editor (OCE) Edits "Notification" Removed OCE exception language from Description and Rationale sections. Notification 5/18/2021 for effective date 7/28/2021.