Medical Policy Updates

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.