Medical Policy Updates

Notification of Policy Revisions Effective March 9, 2021 (Posted December 31, 2020)

Medical Policy Revision
Bundling Guidelines "Notification" Routine policy review. Medical Director approved 12/2020. No changes to policy statement. Deleted code 0396T was replaced with unlisted code 27599. New code 99439 and G2214 added to "Topics of Frequent Interest" section Care Management Services. Definition of new patient updated within New Frequency Visit section. Policy notification given 12/31/2020 for effective date 3/9/2021.
Multiple Procedure Payment Reduction on the Technical Component (TC) of Diagnostic Cardiovascular and Ophthalmology Procedures "Notification" Routine policy review. Senior Medical Director approved 12/2020. New codes 92229, 93241, 93242, 93243, 93245, 93246, and 93247 added to Coding section.  Added codes 0506T, 0507T, 0508T, 93985, and 93986. Removed code 92275. No changes to policy statement. Policy notification given 12/31/2020 for effective date 3/9/2021
Radiology Services Reimbursement Policy "Notification" Routine policy review. Coding section updated with new code 71271. Added codes 74712, 76391, 76978, 76981, 76982, 77046, 77047, 77048, 77049. Removed codes 77058 and 77059. Medical Director approved 12/2020. No changes to policy statement. Policy notification given 12/31/2020 for effective date 3/9/2021.