Coding

The proper coding of procedure and diagnosis for billing purposes. 

Date Issued
Title
7/19/2018
Tumor Antigen by Immunoassay CA 15-3/CA 27.29 – CPT 86300
7/19/2018
Modifier 25 with Evaluation and Management Services Reported with Procedures
7/19/2018
Canalith Repositioning Therapy – CPT 95992
7/16/2018
Duplicate Initial Observation Service
7/16/2018
Definitive Drug Testing Frequency
7/16/2018
Corneal Pachymetry – CPT Code 76514
7/16/2018
Lung Cancer Screening with Low Dose Computed Tomography Frequency
7/16/2018
Care Management Services
7/16/2018
Cardiovascular Evaluation with Tilt Table Testing – CPT code 93660
7/16/2018
Anesthesia Modifier Reporting
6/21/2018
Change in Coverage for CPT Code 0184T
5/23/2018
Coding Antepartum Care by Different Provider Groups
5/22/2018
Noninvasive Vascular Diagnostic Studies
5/22/2018
Screening Electrocardiogram for Coronary Disease
5/22/2018
Anesthesia for Pain Management Injections
5/22/2018
Use of Sequela (7th character "S") Diagnosis Codes
5/22/2018
Use of Modifier 79
5/22/2018
Hospital Discharge Services
5/22/2018
Frequency of Routine Foot Care
5/22/2018
Daily Max Units Regardless of Modifier
5/22/2018
Allergy Testing
5/4/2018
Change in Coverage for CPT Code 97026
4/20/2018
Medical Policy Coding Changes
4/3/2018
Change in Coverage for CPT Code 84066
3/23/2018
Dual Energy X Ray Absorptiometry
3/23/2018
Ophthalmic Ultrasound CPT Code 76513
3/23/2018
Abdominal Ultrasound for Mononucleosis
3/23/2018
Chest X Rays for Lung Cancer Screening
2/26/2018
Colonoscopy Procedures
1/12/2018
New reporting instructions for colon cancer screening anesthesia services and new 2018 CPT code updates to the EmblemHealth Preventive Care/Screening Services Exempt from Cost-Share
1/3/2018
Mammography 2018 Coding Update
10/2/2017
National Drug Code (NDC) Requirements for Physician-Administered Drugs
5/25/2017
Coding updates for Medical Policies
2/3/2017
Billing Instructions for Long Acting Injectable Antipsychotics, Vivitrol and Injectable Naloxone
1/9/2017
Medical Policies’ Coding Updated with CPT/ICD-10 Codes
12/21/2016
Drug Testing and Screening Code 2017 Updates
12/21/2016
Mammography 2017 Coding Update
12/14/2016
Pain Management - Trigger Point Injections - CPT codes 20552 and 20553
12/14/2016
Moderate (Conscious) Sedation
12/14/2016
Pelvic Ring Fractures
11/30/2016
Postpartum Maternal Depression Screening: Updated Billing Guidance
8/30/2016
Upper Eyelid Blepharoplasty and Blepharoptosis Repair
7/22/2016
CPT ICD diagnosis code changes
6/30/2016
New ClaimsXten Edits - Effective August 14, 2016
6/17/2016
Change in Coverage for CPT CODE 28446
5/25/2016
Ocular Blood Flow Testing
5/24/2016
HPV Screening Code Added to Provider Office Lab List
5/13/2016
CPT code 31634 is considered to be an unproven technology
5/9/2016
Taxonomy Codes: Definition and Claims Use
5/2/2016
Recent changes in the CPT/ICD diagnosis coding
4/26/2016
Screening for the Human Immunodeficiency Virus (HIV) Infection
4/18/2016
EmblemHealth Preventive Care/Screening Services Exempt from Cost-Share
4/5/2016
Medical Policy Coding Changes
3/29/2016
New York State Medicaid Expansion of Coverage of Group A Streptococcus Testing for Practitioners
3/1/2016
Code Additions and Revisions
- Provider In-Office Lab List
1/28/2016
New and Revised Place of Service Codes (POS) for Outpatient Hospital
1/28/2016
Use of Modifier 25 and Pulmonary Function Testing
1/19/2016
REVISED: Coding—New Oral Antiemetic Drug Akynzeo®
1/14/2016
CPT code 76942 (Ultrasonic guidance for needle placement imaging supervision and interpretation)
1/1/2016
Drug Testing and Screening Code Updates
10/8/2015
Correct Bundling of Urinalysis CPT codes 81002 and 81003 With Evaluation and Management CPT Codes
10/8/2015
New Reimbursement Rules for Modifier 53
9/8/2015
NYS Medicaid Coverage of Postpartum Maternal Depression Screening
8/27/2015
Correct Usage of Modifier 25
8/21/2015
New ClaimsXten® Edits for Facility-Based Services
6/26/2015
ClaimsXten® — Claims Audit Software
6/12/2015
New Medicare Preventive Services
5/29/2015
Revisions to the HIP Diagnostic Imaging Policy for Ultrasound
4/24/2015
Global Surgery Reimbursement Policy Concerning an Unplanned Return to the Operating Room; Modifier 78 will receive a 20% Fee Reduction*
3/25/2015
Important Coding Information with Regard to DME Modifiers
12/2/2014
Maternity Claims: Multiple Birth Reimbursement
11/25/2014
Expanded Coverage for Spinal Muscular Atrophy - Prenatal Carrier Testing
11/12/2014
Changes to HCPCS Modifier 59
11/11/2014
Expanded Coverage for Fragile X Syndrome - Prenatal Carrier Testing
11/7/2014
Correct Usage of Modifier 50 and Modifiers LT and RT for Bilateral Procedures
11/5/2014
Submit PQRS Codes to CMS Directly – Not to EmblemHealth
9/30/2014
Change in CPT Codes for Qualitative Drug Screen Testing
9/8/2014
Vaccines for Children (VFC) Program Update: Fee Schedule Code Revisions
8/22/2014
MRT Compliance C-Section/Early Delivery Billing Update
8/5/2014
Effective Coding of Evaluation and Management Services
7/31/2014
Additions to the Self-Referral Payment Policy List
7/17/2014
CMS Requires HIPPS and Rate Codes for SNF and HHA Claims
4/4/2014
Complete and Accurate Medical Record Documentation and Coding Critical to Patient Care
4/4/2014
HIPPS and Rate Codes for SNF and HHA Claims Required/ Keeping Accurate Documentation and Coding - Critical to Patient Care
3/25/2014
Update on Denial of CPT Codes Billed With Bariatric Surgery
1/31/2014
CPT 85025 Added to In-Office Lab List for Pediatricians
1/17/2014
Denial of CPT Codes Billed With Bariatric Surgery
1/17/2014
Limitations to Pain Management Services
10/18/2013
2014 CMS-HCC Model Changes
7/16/2013
Zoledronic Acid Replaces Zometa and Reclast on Specialty Injectable Drug List
12/11/2012
Change to In-Office Lab List for HIP Pediatricians
12/3/2012
HIP and Vytra Dual Specialty Providers: Include Taxonomy Code on Claims
7/18/2012
Shingles Vaccination Covered Under Medicare Part D
5/22/2012
Category II CPT Codes
5/22/2012
EmblemHealth 5010 HIPAA Transaction Standard Companion Guides
5/9/2012
Discontinue Use of CPT Codes Retired January 1, 2012
5/9/2012
Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing
11/29/2011
HCPCS S2900 robotic-assisted surgery
8/19/2010
Evaluation and Management Codes Not Payable to Audiology and Speech Language Pathology Specialties
Durable Medical Equipment Will Require Prior Approval
New Codes Requiring Prior Approval
APG Rate Codes
Assistant Surgeon Reimbursement Policy
Changes to the In-Office Testing List for CompreHealth, HIP and Vytra Plans
Modifiers for Services and Procedures During the Postoperative Period
Notable ICD-9 Codes for 2011
POA Indicator
Use Your NPI
Using and Documenting CPT Code 99211 Services Correctly