Active Notifications
The notifications listed below represent new policy versions that are scheduled to become active on the intended Policy Effective Date. These notifications allow you to become familiar with the new policy version in advance of its release. Please check back frequently as notifications are posted often.

Note: The documents below are strictly notifications of future policy updates. The positions and criteria addressed in the notification are not enforced until the Policy Effective Date. To view current company policies, go to the Policy Bulletins section of this site or click here.

 


Policy Effective Date
Notification Title
Notification Issue Date
Hide details for 11/18/201911/18/2019
Dental Extractions Prior to Cardiac Surgery, Radiation Therapy, or Transplant Surgery
10/14/2019
Hide details for 12/02/201912/02/2019
Surgical and Minimally Invasive Treatments for Urinary Outlet Obstruction due to Benign Prostatic Hyperplasia (BPH)
09/03/2019
Hide details for 12/16/201912/16/2019
Hide details for
Botulinum Toxin Agents
09/18/2019
Attachment A (ICD-10 Diagnosis Codes) to 08.00.26v Botulinum Toxin Agents
Hide details for 12/30/201912/30/2019
Endovascular Grafts for Abdominal Aortic Aneurysms (AAA), Aortic-Iliac Aneurysms, and Infrarenal Aortic Aneurysms
10/01/2019
Hide details for 01/01/202001/01/2020
Ground Ambulance Services (Emergency and Nonemergency) (AmeriHealth)
10/03/2019
Intra-Articular Injection of Hyaluronan for the Treatment of Osteoarthritis
10/03/2019
Hide details for
Intravitreal Injection of Vascular Endothelial Growth Factor (VEGF) Antagonists and Related Biosimilars
10/03/2019
Attachment A (ICD-10 Codes and Narratives) to 08.00.74m Intravitreal Injection of Vascular Endothelial Growth Factor (VEGF) Antagonists and Related Biosimilars
Physician/Nonphysician Standby Services
10/25/2019
Hide details for
Treatment of Pulmonary Artery Hypertension with Intravenous, Subcutaneous, and Inhaled Pharmacologic Agents
10/03/2019
Attachment A (Dosing and Frequency Requirements) to 08.00.25l Treatment of Pulmonary Artery Hypertension with Intravenous, Subcutaneous, and Inhaled Pharmacologic Agents
Hide details for 01/13/202001/13/2020
Hide details for
Pegloticase (Krystexxa®)
10/15/2019
Attachment A (ICD-10 Codes and Narratives) to 08.01.02e Pegloticase (Krystexxa®)
Hide details for 01/21/202001/21/2020
Hide details for
Radiation Therapy Services (AmeriHealth)
10/21/2019
Attachment A (CPT, HCPCS and Revenue codes) to 09.00.56j Radiation Therapy Services (AmeriHealth)
Hide details for 01/27/202001/27/2020
Hide details for
Experimental/Investigational Services
10/29/2019
Attachment A (Experimental/Investigational Services Represented by a Specific Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) Code.) to 12.01.01au Experimental/Investigational Services
Attachment B (Experimental/Investigational Services without a Specific Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) Code.) to 12.01.01au Experimental/Investigational Services
Attachment C (Experimental/Investigational services with a specific Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) Code, that are reported for other services.) to 12.01.01au Experimental/Investigational Services
Hide details for 02/09/202002/09/2020
Hide details for
High-Technology Radiology Services (AmeriHealth New Jersey)
11/11/2019
Attachment A (High-Technology Radiology Services Code List) to 09.00.46y NJ High-Technology Radiology Services (AmeriHealth New Jersey)
Hide details for
High-Technology Radiology Services (AmeriHealth Pennsylvania)
11/11/2019
Attachment A (High-Technology Radiology Services Code List ) to 09.00.46y PA High-Technology Radiology Services (AmeriHealth Pennsylvania)
Sleep Disorder Testing and Positive Airway Pressure Therapy Services and Supplies (AmeriHealth)
11/11/2019