Commercial

Medical Policy

Name	ID	MPDispTitle	Policy Category	MPPolicyNumber	MPPolicyNumberwithoutversion	MPTitle	Title	MPNotificationIssuedDate	MPPolicyPageName	MPattachmentdataPub	MPEffectiveDate
235836e3-1b08-4f16-adac-f98bdfc4f7ca	8421	HospitalReadmissions(AmeriHealthPennsylvania)00.01.47d	Administrative (00)	00.01.47d	00.01.47	Hospital Readmissions (AmeriHealth Pennsylvania)	Hospital Readmissions (AmeriHealth Pennsylvania)	4/1/2026 2:00 PM	235836e3-1b08-4f16-adac-f98bdfc4f7ca		5/1/2026
64a0935a-43dd-45f3-8841-9bd06540c8f4	8304	MusculoskeletalServices(AmeriHealth)00.01.66s	Administrative (00)	00.01.66s	00.01.66	Musculoskeletal Services (AmeriHealth)	Musculoskeletal Services (AmeriHealth)	3/2/2026 11:00 AM	64a0935a-43dd-45f3-8841-9bd06540c8f4	{"8305": {"Id":8305,"MPAttachmentLetter":"C","Title":"Procedures Codes for Interventional Pain Management","MPPolicyAttachmentInternalSourceId":10277,"PolicyAttachmentPageName":"9ddada2f-2134-41d3-a7ea-9b2ceac95163"},"8306": {"Id":8306,"MPAttachmentLetter":"B","Title":"Procedure Codes for Joint Surgery","MPPolicyAttachmentInternalSourceId":10279,"PolicyAttachmentPageName":"1bdec1e4-c6dc-487b-84c3-6b5c3e6d16aa"},"8307": {"Id":8307,"MPAttachmentLetter":"A","Title":"Procedure Codes for Spinal Surgery","MPPolicyAttachmentInternalSourceId":10281,"PolicyAttachmentPageName":"3dcf1e4b-c322-41d2-bd93-1600d04d07b5"},}	6/1/2026
f08397b5-077c-438c-a73e-e872d2ac5af9	8308	LevelofCareforElectiveProcedures(HospitalInpatienttoHospitalOutpatientLevelofCare)12.06.01	Miscellaneous (12)	12.06.01	12.06.01	Level of Care for Elective Procedures (Hospital Inpatient to Hospital Outpatient Level of Care)	Level of Care for Elective Procedures (Hospital Inpatient to Hospital Outpatient Level of Care)	3/2/2026 12:00 PM	f08397b5-077c-438c-a73e-e872d2ac5af9		6/1/2026
e337eb8d-418a-4db0-bc27-2c6c234c025c	8385	SiteofCareforElectiveProcedures[HospitalOutpatientSettingtoAmbulatorySurgicalCenter(ASC)]12.06.00	Miscellaneous (12)	12.06.00	12.06.00	Site of Care for Elective Procedures [Hospital Outpatient Setting to Ambulatory Surgical Center (ASC)]	Site of Care for Elective Procedures [Hospital Outpatient Setting to Ambulatory Surgical Center (ASC)]	3/2/2026 3:00 PM	e337eb8d-418a-4db0-bc27-2c6c234c025c	{"8386": {"Id":8386,"MPAttachmentLetter":"A","Title":"CPT/HCPCS Codes","MPPolicyAttachmentInternalSourceId":10489,"PolicyAttachmentPageName":"e6c76b78-f372-4093-9c3f-746ef78421b3"},}	6/1/2026
326c833b-ce53-4cc2-9333-edce4146ea06	8367	PresumptiveandDefinitiveDrugTestinginSubstanceAbuseandPainManagementTreatments06.02.44s	Pathology and Laboratory (06)	06.02.44s	06.02.44	Presumptive and Definitive Drug Testing in Substance Abuse and Pain Management Treatments	Presumptive and Definitive Drug Testing in Substance Abuse and Pain Management Treatments	3/6/2026 9:00 AM	326c833b-ce53-4cc2-9333-edce4146ea06		6/5/2026
165b3086-cdfc-4bf5-b4db-0692080dd2f9	8370	ApheresisTherapy06.03.04p	Pathology and Laboratory (06)	06.03.04p	06.03.04	Apheresis Therapy	Apheresis Therapy	3/10/2026 10:00 AM	165b3086-cdfc-4bf5-b4db-0692080dd2f9		6/8/2026
0757b997-7382-4d37-b33c-bd50feba978d	8419	HospitalReadmissions(AmeriHealthNewJersey)00.01.47d	Administrative (00)	00.01.47d	00.01.47	Hospital Readmissions (AmeriHealth New Jersey)	Hospital Readmissions (AmeriHealth New Jersey)	4/1/2026 2:00 PM	0757b997-7382-4d37-b33c-bd50feba978d		7/1/2026

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