Aetna will no longer allow payment for below mentioned services, Effective from December 1, 2019.
H2021 — community-based services, per 15 minutesH0032 — mental health service plan development by non-physicia
Reference: Behavioral Health services Updates
Effective January 1, 2012, Florida Medicaid will require either RT or LT modifiers on HCPCS drug codes related to intravitreal (eye) and intra-articular (knee) injections. The HCPCS codes listed below will require RT or LT modifiers. Additionally, the following modifiers may no longer be used: 22, 50, and/or 99. Using modifiers 22, 50, and/or 99 will…
Humana utilizes the following code-editing logic: CPT 78593 will not be separately reimbursed when submitted with CPT 78585. CPT 11101 will not be separately reimbursed when submitted with CPT 17000. CPT 20936 will not be separately reimbursed when submitted with CPT 22630. CPT 29877 will not be separately reimbursed when submitted with CPT 29881. CPT…
CPT Codes that require CLIA Certificate of Waiver G0394 82010 82465 82962 83605 84460 85610 8721080061 82044 82523 82985 83655 84478 85651 8744980101 82055 82570 83001 83718 84703 86294 8780480178 82120 82679 83002 83721 84830 86308 8780781002 82270 82947 83026 83880 85013 86618 8780881003 82271 82950 83036 83986 85014 86701 8788081007 82272 82951 83037 …
HCPCS Code J1740 (Boniva) 733.01 Senile osteoporosis733.09* Other osteoporosisE932.0* Adrenal cortical steroids causing adverse effects in therapeutic use *When reporting ICD-9-CM code 733.09, the ICD-9-CM coding manual requires a dual diagnosis. In this regard, when reporting ICD-9-CM code 733.09 (other, osteoporosis), ICD-9-CM code E932.0 (adrenal cortical steroids) must also be reported. HCPCS Code J3487 (Zometa)…
“2012 Medicare claims will be in hold till January 18, 2012” According to section 301 of the TPTCCA (Temporary Payroll Tax Cut Continuation Act of 2011) prevents a payment cut for physicians that would have taken effect on January 1, 2012. An update of zero percent is effective for claims with dates of service January 1, 2012,…
Modifier 59 exceptions Effective March 1, 2011, Modifier 59 will not override the following incidental edits/code combinations: CPT 92502 when billed with 30000 – 31615 (nose, accessory sinuses, larynx, trachea) CPT 92502 when billed with 40490 – 42972 (lips, vestibule of mouth, tongue and floor of mouth,dentoalveolar structures, palate and uvula, salivary gland and ducts,…
