April 2011





This page gives you a listing of everything that has happened on the site this month. There are no active links.


    00.03.09, X-rays Associated with Fractures in the Office Setting
    Notification
    Posted: 4/28/2011


    05.00.70, Mechanical Stretching Devices for the Treatment of Joint Stiffness or Contractures
    Notification
    Posted: 4/28/2011


    11.11.06c, Saturation Needle Biopsy of the Prostate
    Policy Update
    Posted: 4/27/2011


    03.00.16h, Modifier 57: Decision for Surgery
    Policy Update
    Posted: 4/27/2011


    03.00.15h, Modifier 24: Unrelated Evaluation and Management Service by the Same Physician during a Postoperative Period
    Policy Update
    Posted: 4/27/2011


    03.00.06h, Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Day of a Procedure or Other Service
    Policy Update
    Posted: 4/27/2011


    08.00.94a, Denosumab (Prolia™, Xgeva™)
    Policy Update
    Posted: 4/25/2011


    11.15.16g, Vagus Nerve Stimulation (VNS)
    Reissue
    Posted: 4/21/2011


    11.05.01c, Refractive Keratoplasty
    Reissue
    Posted: 4/21/2011


    11.02.20d, Maze Procedure
    Reissue
    Posted: 4/21/2011


    05.00.16c, Blood Pressure Devices for Home Use
    Reissue
    Posted: 4/21/2011


    02.02.01d, Hospice and Respite Care
    Reissue
    Posted: 4/21/2011


    00.05.01b, Guidelines for Well Mother/Well Baby Visits Under the Mother's Option Program
    Reissue
    Posted: 4/21/2011


    00.10.18f, Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS
    Policy Update
    Posted: 4/21/2011


    00.10.11g, Modifier 62: Two Surgeons
    Policy Update
    Posted: 4/21/2011


    11.15.22a, Image-Guided Minimally Invasive Lumbar Decompression for Spinal Stenosis
    Policy Update
    Posted: 4/20/2011


    11.02.16i, Ventricular Assist Devices (VADs)
    Policy Update
    Posted: 4/19/2011


    05.00.46d, External Breast Prostheses, Mastectomy Bras, and Post-Mastectomy Camisoles
    Policy Archived
    Posted: 4/15/2011


    11.08.19i, Prophylactic Mastectomy
    Policy Update
    Posted: 4/15/2011


    08.00.18h, Medical Foods, Low-Protein Modified Food Products, Enteral Nutrition, and Nutritional Formulas
    Policy Update
    Posted: 4/15/2011


    07.02.12e, Cardiac Event Detection Monitoring (External Loop Monitoring)
    Policy Update
    Posted: 4/15/2011


    07.00.15h, Reimbursement for the Administration of Immunizations
    Policy Update
    Posted: 4/13/2011


    07.05.03b, Intestinal Rehabilitation Program
    Policy Archived
    Posted: 4/11/2011


    00.10.36h, Radiologic Guidance of a Procedure
    Notification
    Posted: 4/11/2011


    06.03.05d, Autologous Blood Services (Collection, Storage, Transfusion, and Perioperative Salvage)
    Reissue
    Posted: 4/8/2011


    07.06.01a, Decongestive Lymphedema Therapy (DLT)
    Reissue
    Posted: 4/8/2011


    09.00.40b, Screening for Vertebral Fracture with Dual-Energy X-ray Absorptiometry (DEXA/DXA)
    Reissue
    Posted: 4/8/2011


    11.15.11b, Treatment for Hyperhidrosis (Nonpharmacologic)
    Reissue
    Posted: 4/8/2011


    11.14.08b, Orthognathic Surgery
    Reissue
    Posted: 4/8/2011


    11.14.01e, Mentoplasty or Genioplasty
    Reissue
    Posted: 4/8/2011


    04.00.03a, Dental Extractions Prior to Cardiac Surgery, Radiation Therapy, or Transplant Surgery
    Reissue
    Posted: 4/8/2011


    03.00.07j, Modifier 51: Multiple Procedures
    Policy Update
    Posted: 4/8/2011


    11.14.10h, Vertebroplasty and Kyphoplasty
    Policy Update
    Posted: 4/6/2011


    07.05.06c, Transcatheter Arterial Chemoembolization (TACE) of Hepatic Malignancies
    Policy Update
    Posted: 4/6/2011


    03.00.10f, Modifiers LT/RT: Left Side/Right Side Procedures
    Policy Update
    Posted: 4/1/2011


    12.01.01i, Experimental/Investigational Services
    Policy Update
    Posted: 4/1/2011


    00.01.25l, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
    Notification
    Posted: 4/1/2011


    11.16.06c, Balloon Sinuplasty for the Treatment of Chronic Sinusitis
    Policy Update
    Posted: 4/1/2011


    11.00.10h, Multiple Surgical Reduction Guidelines
    Policy Update
    Posted: 4/1/2011


    08.00.26n, Botulinum Toxin Agents
    Policy Update
    Posted: 4/1/2011


    00.01.25k, PPO Network Rules for Provision of Specialty Services for Durable Medical Equipment and Laboratory, Radiology, and Physical Medicine and Rehabilitative Services
    Policy Update
    Posted: 4/1/2011


    03.00.31c, Modifiers for Split or Shared Surgical Services (Modifiers 54, 55, and 56)
    Policy Update
    Posted: 4/1/2011


    03.00.29e, Modifier 51 Exempt
    Policy Update
    Posted: 4/1/2011


    03.00.28h, Modifier 79: Unrelated Procedure or Service by the Same Physician During the Postoperative Period
    Policy Update
    Posted: 4/1/2011


    00.03.06, Physical Medicine and Rehabilitation Services Eligible for Reimbursement Above Capitation to Physical and Occupational Therapy (PT/OT) Providers for Members Enrolled in Health Maintenance Organization (HMO) or Health Maintenance Organization Point-of-Service (HMO-POS) Products
    New Policy
    Posted: 4/1/2011


    00.01.24d, Obsolete or Unreliable Diagnostic Tests and Medical Services
    Policy Update
    Posted: 4/1/2011


    03.00.12c, Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician Following the Initial Procedure for a Related Procedure During the Postoperative Period
    Policy Update
    Posted: 4/1/2011


    00.01.14i, Reporting and Documentation Requirements for Anesthesia Services
    Notification
    Posted: 4/1/2011




    Issued on - 5/3/2011