Deleted Codes: J1942 Injection, aripiprazole lauroxil, 1 mg S1090 Mometasone furoate sinus implant, 370 micrograms Revised Codes: J0641 Inj., levoleucovorin,...
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Upcoming CPT (NEW) Code Changes
2019 CPT Code Changes: 0105U: Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor...
The HCPCS code set is updated quarterly. CR 11422 informs MACs and providers of the latest updates to specific drug/biological...
ICD-10 PCS Deleted Codes Effective October 1st, 2019
ICD-10 PCS Deleted Codes 370046 Dilation of Right Internal Mammary Artery, Bifurcation, with Drug-eluting Intraluminal Device, Open Approach370056 Dilation of...
Changes In Bypass Payment Edits For Kidney Donor Transplant
The MACs to implement logic that ensures they bypass payment window edits (3-days and 1-day) when processing claims for donor...
Anthem Changes Timely-Filing (TFL ) Deadlines
Anthem has sent out a notice to all providers who have signed non-Medicare (Commercial) or Medicare Advantage contracts with them,...
2020 ICD-10 CM Revised Codes Effective from October 1, 2019
Revised Codes B96.21 Shigatoxin-producingEscherichiacoli[E.coli][STEC]O157asthecauseofdiseasesclassifiedelsewhere B96.22 OtherspecifiedShigatoxin-producingEscherichiacoli[E.coli][STEC]asthecauseofdiseasesclassifiedelsewhere B96.23 UnspecifiedShigatoxin-producingEscherichiacoli[E.coli][STEC]asthecauseofdiseasesclassifiedelsewhere G43.A0 Cyclicalvomiting,inmigraine,notintractable G43.A1 Cyclicalvomiting,inmigraine,intractable I70.238 Atherosclerosisofnativearteriesofrightlegwithulcerationofotherpartoflowerleg I70.248 Atherosclerosisofnativearteriesofleftlegwithulcerationofotherpartoflowerleg J44.0 Chronicobstructivepulmonarydiseasewith(acute)lowerrespiratoryinfection M50.120 Mid-cervicaldiscdisorder,unspecifiedlevel...
ICD-10 PCS New Codes Effective October 1st, 2019
ICD-10 PCS NEW CODES 001607A Bypass Cerebral Ventricle to Subgaleal Space with Autologous Tissue Substitute, Open Approach00160JA Bypass Cerebral Ventricle...
2020 ICD-10 CM Deleted Codes Effective from October 1, 2019
Deleted Codes H81.41 Vertigoofcentralorigin,rightear H81.42 Vertigoofcentralorigin,leftear H81.43 Vertigoofcentralorigin,bilateral H81.49 Vertigoofcentralorigin,unspecifiedear T67.0XXA Heatstrokeandsunstroke,initialencounter T67.0XXD Heatstrokeandsunstroke,subsequentencounter T67.0XXS Heatstrokeandsunstroke,sequela See Also New Codes...
New Reimbursement Guidelines for Smoking Cessation
Effective September 26, 2019, Horizon BCBSNJ will change the way consider certain professional claims for smoking cessation services provided September 26,...
New Codes: J0121 Injection, omadacycline, 1 mg J0122 Injection, eravacycline, 1 mg J0222 Injection, Patisiran, 0.1 mg J0291 Injection, plazomicin,...
Changes in Allergy Testing Guidelines
Effective September 10, 2019, Horizon BCBSN will change the way consider certain professional claims for services provided to Horizon BCBSNJ...