7/1/2019 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products




    Purpose

    The intent of this article is to communicate Commercial Product coverage positions for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 7/1/2019.

    For more information related to these services, refer to specific policies when applicable.

    Coverage Statement

    As a result of the Quarterly Code Update process, the following services have been reviewed, and coverage determinations made by the Company are identified below. The procedure codes that represent these services will be effective on 7/1/2019.

    Coding

    Inclusion of a code in this NewsFLASH does not imply reimbursement. Medical Necessity, eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.

    ELIGIBLE SERVICES

    0550T

    0551T

    C9047

    C9048

    C9049

    C9050

    C9051

    C9052

    J1444

    J7208

    J7677

    J9030

    J9036

    J9356

    Q5112

    Q5113

    Q5114

    Q5115

    0084U

    0090U

    0096U

    0098U

    EXPERIMENTAL/INVESTIGATIONAL SERVICES

    0543T

    0544T

    0545T

    0546T

    0547T

    0548T

    0549T

    0552T

    0553T

    0554T

    0555T

    0556T

    0557T

    0558T

    0559T

    0560T

    0561T

    0562T

    90619

    C9756

    0085U

    0086U

    0087U

    0088U

    0089U

    0091U

    0092U

    0093U

    0094U

    0095U

    0097U

    0099U

    0100U

    0101U

    0102U

    0103U

    0104U




    Issued on - 07/01/2019