Archived Reimbursement Policies
The policies below are in PDF format. If you do not have Adobe Acrobat Reader, you may download it here.
A
- Abortion
- Acupuncture Services
- Acupuncture Services
- Acupuncture Services
- Acupuncture Services
- Acupuncture Services
- Advanced Diagnostic Imaging Services
- All Patient Refined Diagnosis Related Groups (“APR-DRG”)
- Allergy Testing and Allergen Immunotherapy
- Allergy Testing and Allergen Immunotherapy
- Allergy Testing and Allergen Immunotherapy
- Anesthesia
- Antigen Leukocyte Cellular Antibody Testing ("ALCAT")
- Applied Behavior Analysis for Autism Spectrum Disorder
- Applied Behavioral Analysis (ABA) Therapy
- Avastin for use in Ophthalmology Billing Guideline
B
C
- Cardiovascular Imaging
- Cardiovascular Nuclear Medicine
- Chiropractic Care
- Chiropractic Care
- Chiropractic Care – Spinal Manipulation
- CMS NCD/LCD Policies
- Colonoscopies
- Coordination of Benefits
- Corneal Tissue Replacement at Free-standing Surgical Centers
- COVID-19 Vaccine Reimbursement
- COVID-19 Vaccine Reimbursement
- CPT Codes Not Covered in an Emergency Room Setting
D
- Dental Procedures in a Hospital, Outpatient Facility or Ambulatory Surgery Center
- Dental Procedures in Hospital Outpatient Facility or Ambulatory Surgery Center
- Drug Testing
- Drug Testing
- Drug Testing
- Drug Testing
- Drug Testing
- Drug Testing
- Dry Eye Syndrome Testing
- Durable Medical Equipment (DME) Modifiers
- Durable Medical Equipment (DME) Modifiers
- Durable Medical Equipment (DME) Modifiers
- Durable Medical Equipment and Modifiers
E
F
G
H
I
J
L
M
- Mammography Services
- Medical Drug Reimbursement Rates
- Medication Assisted Therapy
- Modifier 25
- Modifier 25
- Modifier 59 XE XP XS XU
- Modifier 59, XE, XP, XS, XU
- Modifiers
- Modifiers
- Molecular Diagnostic Testing for Gastrointestinal Illness
- Molecular Diagnostic Testing for Gastrointestinal Illness
- Molecular Diagnostic Testing for Gastrointestinal Illness
- Molecular Diagnostic Testing for Hepatitis B and C
- Molecular Diagnostic Testing for Hepatitis B and C
- Molecular Diagnostic Testing for Hepatitis B and C
- Molecular Diagnostic Testing for Herpes Simplex Virus
- Molecular Diagnostic Testing for Influenza Virus Infection
- Molecular Diagnostic Testing for Influenza Virus Infection
- Molecular Diagnostic Testing for Respiratory Virus
- Molecular Diagnostic Testing for Respiratory Virus
- Molecular Diagnostic Testing for Streptococcus A and B Infection
- Molecular Diagnostic Testing for Streptococcus A and B Infection
N
O
- Observation Care Services
- Obstetrical Care - Total Cost for Freestanding Birthing Centers
- Obstetrical Care – Total Cost
- Obstetrical Care – Total Cost for Free Standing Birthing Centers
- Obstetrical Care – Unbundled Cost
- Obstetrical Care – Unbundled Cost
- Obstetrical Care – Unbundled Cost
- Obstetrical Care – Unbundled Cost
- Obstetrical Services - Global
- Obstetrical Services - Preferred
- Occupational and Physical Therapy
- Occupational, Physical & Speech Therapy
- Orthotics
- Orthotics
- Orthotics
- Outpatient Hospital Surgical Non-Grouped Codes
- Overpayment Recovery
- Overpayment Recovery
- Overpayment Recovery
- Overpayment Recovery
- Oxygen Delivery Systems & Supplies
P
- Pain Management
- Pain Management
- Pass-Through Billing
- Payment of Out of Network Providers
- Payment to Out of Network Providers
- Positive Airway Pressure Devices for Pulmonary Disorders
- Positive Airway Pressure Devices for Pulmonary Disorders
- Positive Airway Pressure Devices for Pulmonary Disorders
- Post Stabilization Care Services
- Preferred Obstetrical Services
- Preventive Evaluation and Management Services and Acute
- Preventive Evaluation and Management Services and Acute Care Visit on Same Date of Service
- Preventive Services and Sick Visit on Same Date of Service
- Preventive Services and Sick Visit on Same Date of Service
- Preventive Services and Sick Visit on Same Date of Service
- Preventive Services and Sick Visit on Same Date of Service
- Provider Home Visits
- Provider Issue Resolution Process
- Psychiatric Day Programs
R
S
- Sacroiliac Joint Fusion
- Sacroiliac Joint Procedures
- Sacroiliac Joint Procedures
- Screening and Surveillance for Colorectal Cancer
- Screening and Surveillance for Colorectal Cancer
- Screening and Surveillance for Colorectal Cancer
- Screening for Sexually Transmitted Infections
- Screening for Sexually Transmitted Infections
- Sexually Transmitted Infections
- Sleep Studies
- Sleep Studies
- Smoking & Tobacco Cessation
- Smoking & Tobacco Cessation
- Speech-Language Pathology
- Standard Medical Billing Guidance
- Sterilization
- Substance Use Disorder Residential
- Substance Use Disorder Residential
- Substance Use Disorder Residential
- Substance Use Disorder Residential Treatment
T
- Telemedicine Services
- Telemedicine Services
- Temporary Codes
- Three-Day Payment Window
- Thyroid Testing
- Thyroid Testing
- Thyroid Testing
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Transcutaneous Electrical Nerve Stimulation (TENS)
- Transcutaneous Electrical Nerve Stimulators (“TENS”)
- Transthoracic Echocardiogram
- Trigger Point Injections