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dd6ddc98-77a4-4155-a4fe-ffb2897abddd.aspx
  
7820BundledProcedureCodes00.01.52yAdministrative (00)00.01.52y00.01.52Bundled Procedure CodesBundled Procedure Codes10/1/2025 2:00 PMdd6ddc98-77a4-4155-a4fe-ffb2897abddd
{"7821": {"Id":7821,"MPAttachmentLetter":"B","Title":"Procedures/Services Not Eligible for Separate Reimbursement","MPPolicyAttachmentInternalSourceId":9934,"PolicyAttachmentPageName":"d43766b3-e2a2-47e4-8462-e79f9d4ab0dc"},"7822": {"Id":7822,"MPAttachmentLetter":"A","Title":"Always Bundled and Bundled Procedures/Services (MPFSDB Indicators B and T)","MPPolicyAttachmentInternalSourceId":9935,"PolicyAttachmentPageName":"52d88ba5-aabe-4dd6-bbc5-7d8e202f7268"},"7823": {"Id":7823,"MPAttachmentLetter":"C","Title":"Procedures/Services Not Eligible for Reimbursement","MPPolicyAttachmentInternalSourceId":9936,"PolicyAttachmentPageName":"92fe4e50-0a77-49c5-b289-e438ad1821d5"},"7824": {"Id":7824,"MPAttachmentLetter":"D","Title":"Procedures/Services Not Eligible for Separate Reimbursement​ when reported with another specific Procedure/Service​","MPPolicyAttachmentInternalSourceId":9947,"PolicyAttachmentPageName":"286bb629-8fc7-4c27-8a7c-54970c1c3fcd"},}
12/31/2025
74043e2d-dc4b-4e88-bd70-3ce1e15f8ef9.aspx
  
7755ReimbursementforOutpatientEmergencyDepartmentVisits[AmeriHealthNewJersey]00.10.03mAdministrative (00)00.10.03m00.10.03Reimbursement for Outpatient Emergency Department Visits [AmeriHealth New Jersey]Reimbursement for Outpatient Emergency Department Visits [AmeriHealth New Jersey]10/1/2025 10:00 AM74043e2d-dc4b-4e88-bd70-3ce1e15f8ef9
1/1/2026
6ffaa295-0f71-454b-8f94-d408569ba6e8.aspx
  
7873PreventiveCareServices00.06.02axAdministrative (00)00.06.02ax00.06.02Preventive Care ServicesPreventive Care Services10/3/2025 11:00 AM6ffaa295-0f71-454b-8f94-d408569ba6e8
{"7874": {"Id":7874,"MPAttachmentLetter":"D","Title":"ADDITIONAL PREVENTIVE SERVICES FOR MEMBERS ENROLLED IN NJ PLANS","MPPolicyAttachmentInternalSourceId":9836,"PolicyAttachmentPageName":"fa2e0fcb-a95f-454e-b574-5e4312f08dcb"},"7875": {"Id":7875,"MPAttachmentLetter":"C","Title":"Pediatric Preventive Care Services","MPPolicyAttachmentInternalSourceId":9841,"PolicyAttachmentPageName":"330243c2-bfd3-4c92-9d0a-eaf317259ce2"},"7876": {"Id":7876,"MPAttachmentLetter":"A","Title":"Adult Preventive Services","MPPolicyAttachmentInternalSourceId":9842,"PolicyAttachmentPageName":"8ad3be32-bb27-4a9b-9c11-fe030a3de868"},"7877": {"Id":7877,"MPAttachmentLetter":"B","Title":"Female Preventive Care Services","MPPolicyAttachmentInternalSourceId":9843,"PolicyAttachmentPageName":"03492c17-a5ed-47f1-8be2-6af15fa49312"},}
1/1/2026
8e8af405-8195-431a-9a5f-c37e2eefb49b.aspx
  
8055TelemedicineServices00.10.41qAdministrative (00)00.10.41q00.10.41Telemedicine ServicesTelemedicine Services12/1/2025 10:00 AM8e8af405-8195-431a-9a5f-c37e2eefb49b
1/1/2026
e270aa4d-ac67-4fd1-b0f6-de1286cadb4c.aspx
  
8058TopicalOxygenation07.00.09dMedicine (07)07.00.09d07.00.09Topical OxygenationTopical Oxygenation12/1/2025 12:00 PMe270aa4d-ac67-4fd1-b0f6-de1286cadb4c
1/1/2026
226a773b-3849-4477-8bc4-9b6ffde5d41a.aspx
  
7928DurableMedicalEquipment(DME)andConsumableMedicalSupplies[AmeriHealthNewJersey]05.00.91aiDME (05)05.00.21ai05.00.21Durable Medical Equipment (DME) and Consumable Medical Supplies [AmeriHealth New Jersey]Durable Medical Equipment (DME) and Consumable Medical Supplies [AmeriHealth New Jersey]10/10/2025 10:00 AM226a773b-3849-4477-8bc4-9b6ffde5d41a
{"7929": {"Id":7929,"MPAttachmentLetter":"A2","Title":"Equipment that Meets the Definition of Durable Medical Equipment (DME)","MPPolicyAttachmentInternalSourceId":10130,"PolicyAttachmentPageName":"acacb3da-8ecb-4639-922a-783b495a3eac"},"7930": {"Id":7930,"MPAttachmentLetter":"B","Title":"Items that Do Not Meet the Definition of Durable Medical Equipment (DME)","MPPolicyAttachmentInternalSourceId":10131,"PolicyAttachmentPageName":"3f2f4524-817b-406c-a475-00941d056a5f"},"7931": {"Id":7931,"MPAttachmentLetter":"A1","Title":"Equipment that Meets the Definition of Durable Medical Equipment (DME)","MPPolicyAttachmentInternalSourceId":10132,"PolicyAttachmentPageName":"36a20621-4bf8-4a15-9afb-087bce51a958"},}
1/10/2026
db9b5e43-54e8-407c-8d04-3c212f78aac0.aspx
  
7974ReimbursementforComponentsofComprehensiveLaboratoryPanels00.01.61bAdministrative (00)00.01.61b00.01.61Reimbursement for Components of Comprehensive Laboratory PanelsReimbursement for Components of Comprehensive Laboratory Panels10/31/2025 2:00 PMdb9b5e43-54e8-407c-8d04-3c212f78aac0
{"7975": {"Id":7975,"MPAttachmentLetter":"A","Title":"CPT Codes","MPPolicyAttachmentInternalSourceId":10142,"PolicyAttachmentPageName":"8cd04a31-ccac-4e1b-83e2-32b2ad31fe86"},}
2/1/2026
c506a802-9817-45fc-97da-7ae535af2c96.aspx
  
7978ReimbursementForAdvancedPracticeProviderServices00.10.45Administrative (00)00.10.4500.10.45Reimbursement For Advanced Practice Provider ServicesReimbursement For Advanced Practice Provider Services10/31/2025 2:00 PMc506a802-9817-45fc-97da-7ae535af2c96
2/1/2026
2dddcda8-ac4a-465c-99f6-829819e9949e.aspx
  
8059MultipleProcedurePaymentReduction(MPPR)GuidelinesforTransvaginalandTransabdominalUltrasounds00.01.72Administrative (00)00.01.7200.01.72Multiple Procedure Payment Reduction (MPPR) Guidelines for Transvaginal and Transabdominal UltrasoundsMultiple Procedure Payment Reduction (MPPR) Guidelines for Transvaginal and Transabdominal Ultrasounds12/2/2025 2:00 PM2dddcda8-ac4a-465c-99f6-829819e9949e
3/2/2026
0b90f3db-8116-4696-94b5-53b8c73fa240.aspx
  
8060ReimbursementforCertainEvaluationandManagement(E/M)Services00.01.69cAdministrative (00)00.01.69c00.01.69Reimbursement for Certain Evaluation and Management (E/M) ServicesReimbursement for Certain Evaluation and Management (E/M) Services12/2/2025 2:00 PM0b90f3db-8116-4696-94b5-53b8c73fa240
3/2/2026
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