| Anesthesia Information |
Policy Number |
Effective Date |
End Date |
|---|
| Anesthesia Information |
CPCP010 |
03/30/2023 |
08/14/2024 |
| Anesthesia Information |
CPCP010 |
10/01/2022 |
03/29/2023 |
| Applied Behavior Analysis |
Policy Number |
Effective Date |
End Date |
|---|
| Applied Behavior Analysis |
CPCP011 |
06/12/2023 |
11/06/2024 |
| Applied Behavior Analysis V1 |
CPCP011 |
11/09/2021 |
06/11/2023 |
| Chiropractic Services |
Policy Number |
Effective Date |
End Date |
|---|
| Chiropractic Services |
CPCP016 |
03/28/2023 |
01/25/2024 |
| Chiropractic Services |
CPCP016 |
12/16/2021 |
03/27/2023 |
| Corrected Claim Submissions |
Policy Number |
Effective Date |
End Date |
|---|
| Corrected Claim Submissions |
CPCP025 |
07/01/2024 |
01/02/2025 |
| Corrected Claim Submissions |
CPCP025 |
04/30/2020 |
06/30/2024 |
| Co-Surgeon/Team Surgeon Modifiers |
Policy Number |
Effective Date |
End Date |
|---|
| Co-Surgeon/Team Surgeon Modifiers |
CPCP009 |
01/25/2024 |
04/17/2025 |
| Co-Surgeon/Team Surgeon Modifiers |
CPCP009 |
09/26/2023 |
01/24/2024 |
| Co-Surgeon/Team Surgeon Modifiers V1 |
CPCP009 |
09/16/2020 |
09/25/2023 |
| Drug Testing |
Policy Number |
Effective Date |
End Date |
|---|
| Drug Testing Clinical Payment and Coding Policy |
CPCP020 |
12/04/2023 |
11/14/2024 |
| Drug Testing Clinical Payment and Coding Policy |
CPCP020 |
03/30/2023 |
12/03/2023 |
| Drug Testing Clinical Payment and Coding Policy |
CPCP020 |
01/14/2022 |
03/29/2023 |
| Emergency Department Evaluation and Management (E/M) Services Coding - Professional Services |
Policy Number |
Effective Date |
End Date |
|---|
| Emergency Department Evaluation and Management (E/M) Services Coding - Professional Services |
CPCP042 |
08/01/2023 |
10/03/2024 |
| Evaluation and Management (E/M) Coding – Professional Provider Services |
Policy Number |
Effective Date |
End Date |
|---|
| Evaluation and Management (E/M) Coding – Professional Provider Services |
CPCP024 |
12/04/2023 |
11/17/2024 |
| Evaluation and Management (E/M) Coding – Professional Provider Services |
CPCP024 |
06/22/2023 |
12/03/2023 |
| Evaluation and Management (E/M) Coding – Professional Provider Services V3 |
CPCP024 |
12/07/2020 |
06/21/2023 |
| Global Surgical Package |
Policy Number |
Effective Date |
End Date |
|---|
| Global Surgical Package |
CPCP014 |
01/25/2024 |
04/14/2025 |
| Global Surgical Package |
CPCP014 |
06/26/2023 |
01/24/2024 |
| Global Surgical Package |
CPCP014 |
08/02/2022 |
06/25/2023 |
| Hernia Repair |
Policy Number |
Effective Date |
End Date |
|---|
| Hernia Repair |
CPCP012 |
05/17/2023 |
07/10/2024 |
| Hernia Repair |
CPCP012 |
04/28/2022 |
05/16/2023 |
| Inpatient/Outpatient Unbundling Policy |
Policy Number |
Effective Date |
End Date |
|---|
| Inpatient/Outpatient Unbundling Policy |
CPCP002 |
12/16/2021 |
01/03/2024 |
| Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline |
Policy Number |
Effective Date |
End Date |
|---|
| Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline |
CPCP032 |
09/26/2023 |
10/03/2024 |
| Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline |
CPCP032 |
04/22/2022 |
09/25/2023 |
| Laboratory Panel Billing |
Policy Number |
Effective Date |
End Date |
|---|
| Laboratory Panel Billing |
CPCP021 |
06/26/2023 |
07/10/2024 |
| Laboratory Panel Billing |
CPCP021 |
04/06/2022 |
06/25/2023 |
| Medical Record Documentation |
Policy Number |
Effective Date |
End Date |
|---|
| Medical Record Documentation |
CPCP029 |
11/13/2023 |
11/14/2024 |
| Medical Record Documentation |
CPCP029 |
09/16/2022 |
11/12/2023 |
| Modifier Reference Policy |
Policy Number |
Effective Date |
End Date |
|---|
| Modifier Reference Policy |
CPCP023 |
11/13/2023 |
01/25/2024 |
| Modifier Reference Policy |
CPCP023 |
03/30/2023 |
11/12/2023 |
| Modifier Reference Guideline |
CPCP023 |
05/13/2022 |
03/29/2023 |
| Multiple Surgical Procedures - Professional Provider Services |
Policy Number |
Effective Date |
End Date |
|---|
| Multiple Surgical Procedures - Professional Provider Services |
CPCP015 |
01/25/2024 |
04/22/2025 |
| Multiple Surgical Procedures - Professional Provider Services |
CPCP015 |
09/26/2023 |
01/24/2024 |
| Multiple Surgical Procedures - Professional Provider Services |
CPCP015 |
06/24/2022 |
09/25/2023 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
Policy Number |
Effective Date |
End Date |
|---|
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
10/01/2024 |
05/15/2025 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
07/01/2024 |
09/30/2024 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
07/01/2024 |
07/01/2024 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
05/15/2024 |
06/30/2024 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
04/01/2024 |
05/15/2024 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
01/15/2024 |
05/14/2024 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
12/01/2023 |
01/15/2024 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
10/01/2023 |
11/30/2023 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
09/01/2023 |
09/30/2023 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
06/01/2023 |
08/31/2023 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V3 |
CPCP028 |
03/27/2023 |
05/31/2023 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V3 |
CPCP028 |
12/07/2022 |
06/31/2023 |
| Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V3 |
CPCP028 |
10/07/2022 |
03/31/2023 |
| Observation Services Policy |
Policy Number |
Effective Date |
End Date |
|---|
| Observation Services Policy |
CPCP001 |
07/12/2023 |
08/29/2024 |
| Observation Services Policy |
CPCP001 |
06/22/2023 |
07/11/2023 |
| Outpatient Services Prior to an Inpatient Admission |
Policy Number |
Effective Date |
End Date |
|---|
| Outpatient Services Prior to an Inpatient Admission |
CPCP038 |
07/01/2023 |
02/16/2024 |
| Outpatient Facility Service(s) Overlapping During an Inpatient Stay |
Policy Number |
Effective Date |
End Date |
|---|
| Outpatient Facility Service(s) Overlapping During an Inpatient Stay |
CPCP039 |
08/01/2023 |
07/10/2024 |
| Paravertebral Facet Injection Procedure Coding & Billing Policy |
Policy Number |
Effective Date |
End Date |
|---|
| Paravertebral Facet Injection Procedure Coding & Billing Policy |
CPCP036 |
11/13/2023 |
11/14/2024 |
| Paravertebral Facet Injection Procedure Coding & Billing Policy |
CPCP036 |
01/03/2023 |
11/12/2023 |
| Paravertebral Facet Injection Procedure V1 |
CPCP036 |
01/14/2022 |
01/02/2023 |
| Physical Medicine and Rehabilitation Services |
Policy Number |
Effective Date |
End Date |
|---|
| Physical Medicine and Rehabilitation Services |
CPCP040 |
03/28/2023 |
01/25/2024 |
| Pneumatic Compression Devices – Outpatient Use |
Policy Number |
Effective Date |
End Date |
|---|
| Pneumatic Compression Devices – Outpatient Use |
CPCP022 |
02/13/2023 |
02/16/2024 |
| Pneumatic Compression Devices – Outpatient Use |
CPCP022 |
01/14/2022 |
02/13/2023 |
| Preventive Services Policy |
Policy Number |
Effective Date |
End Date |
|---|
| Preventive Services Policy |
CPCP006 |
02/01/2025 |
03/31/2025 |
| Preventive Services Policy |
CPCP006 |
01/01/2025 |
02/01/2025 |
| Preventive Services Policy |
CPCP006 |
10/01/2024 |
01/01/2025 |
| Preventive Services Policy |
CPCP006 |
07/01/2024 |
09/30/2024 |
| Preventive Services Policy |
CPCP006 |
04/01/2024 |
06/30/2024 |
| Preventive Services Policy |
CPCP006 |
01/01/2024 |
03/31/2024 |
| Preventive Services Policy |
CPCP006 |
11/01/2023 |
12/31/2023 |
| Preventive Services Policy |
CPCP006 |
10/01/2023 |
10/31/2023 |
| Preventive Services Policy |
CPCP006 |
07/01/2023 |
09/30/2023 |
| Preventive Services Policy |
CPCP006 |
04/01/2023 |
06/30/2023 |
| Preventive Services Policy |
CPCP006 |
03/01/2023 |
03/30/2023 |
| Preventive Services Policy V1 |
CPCP006 |
01/01/2023 |
02/28/2023 |
| Psychological and Neuropsychological Testing |
Policy Number |
Effective Date |
End Date |
|---|
| Psychological and Neuropsychological Testing V1 |
CPCP008 |
12/04/2023 |
11/14/2024 |
| Psychological and Neuropsychological Testing V1 |
CPCP008 |
12/16/2022 |
12/03/2023 |
| Telemedicine and Telehealth/Virtual Health Care Services Policy |
Policy Number |
Effective Date |
End Date |
|---|
| Telemedicine and Telehealth/Virtual Health Care Services Policy |
CPCP033 |
02/28/2024 |
01/01/2025 |
| Telemedicine and Telehealth/Virtual Health Care Services Policy |
CPCP033 |
12/05/2023 |
02/27/2024 |
| Telemedicine and Telehealth Services |
CPCP033 |
03/28/2022 |
12/04/2023 |
| Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding |
Policy Number |
Effective Date |
End Date |
|---|
| Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding V1 |
CPCP026 |
05/17/2023 |
08/29/2024 |
| Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding V3 |
CPCP026 |
01/03/2023 |
05/16/2023 |
| Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding V3 |
CPCP026 |
10/05/2021 |
01/02/2023 |
| Trauma Activation - Facility Services |
Policy Number |
Effective Date |
End Date |
|---|
| Trauma Activation - Facility Services V1 |
CPCP031 |
07/12/2023 |
07/26/2024 |
| Trauma Activation - Facility Services V1 |
CPCP031 |
02/24/2022 |
07/11/2023 |
