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Reimbursement Policy Update for June 30, 2023
Reimbursement PolicyRevision
Multiple Procedure Payment ReductionUpdated coding section with instruction to reference CMS Physician Fee Schedule and removed coding grid. No change to policy intent.
Radiology ServicesUpdated coding section with instruction to reference CMS Physician Fee Schedule and removed coding grid. No change to policy intent.
Services Bundled Inpatient Outpatient

Added verbiage to Reimbursement guidelines section to clarify inpatient reimbursement being considered all-inclusive. Clarified Rationale section. MD Approved.

Clarification added to Routine Surgical grid “Skin closure devices” and “Surgical Clips and Staplers“.  Clarification added to Routine Respiratory “PEP instruction and/or therapy”. No change to policy intent.