Device, Implant and Skin Substitutes (Facilities) Policy

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Device, Implant and Skin Substitutes (Facilities) Policy

09/15/2023

Device, Implant and Skin Substitutes (Facilities) Policy
Effective 12/14/2023, EmblemHealth and ConnectiCare are enforcing the following Coding Guidelines: Device, Implant and Skin Substitutes (Facilities) Payment Integrity Policy. This policy outlines coding requirements for the billing of devices, implants, and/or skin substitutes along with their correlating procedures and offers directives for inpatient and outpatient hospital services in the correct revenue coding based on guidelines set forth by the US Food and Drug Administration (FDA) classification of products as implants.

 

JP 63180 09/2023

Provider Update