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News & AnnouncementsExpanded Coverage of Pneumococcal 15-valent Conjugate Vaccine for AmeriHealth Members9/13/2022
NotificationsMedical and Surgical Treatment of Temporomandibular Joint Disorder07.08.03h9/9/2022 10:00 AM10/10/20229/9/2022Medical Necessity Criteria;General Description, Guidelines, or Informational Update
NotificationsEculizumab (Soliris®) and Related Biosimilars, Ravulizumab-cwvz (Ultomiris®)08.00.84i9/19/2022 1:00 PM10/17/20229/19/2022Medical Necessity Criteria;General Description, Guidelines, or Informational Update
NotificationsPneumatic Compression Therapy Devices05.00.01n9/23/2022 9:00 AM10/24/20229/23/2022Coverage and/or Reimbursement Position;Medical Necessity Criteria;Medical Coding;General Description, Guidelines, or Informational Update
Updated PoliciesDurable Medical Equipment (DME) and Consumable Medical Supplies05.00.21z8/5/2022 2:00 PM9/5/20229/6/2022Coverage and/or Reimbursement Position;Medical Coding
Updated PoliciesNebulizers and Inhalation Solutions05.00.15s8/5/2022 9:00 AM9/5/20229/6/2022Medical Necessity Criteria
Updated PoliciesMusculoskeletal Services (AmeriHealth)00.01.66f9/11/20229/11/2022Coverage and/or Reimbursement Position;Medical Coding
Updated PoliciesSleep Disorder Testing and Positive Airway Pressure Therapy Services and Supplies07.03.05y9/11/20229/11/2022General Description, Guidelines, or Informational Update
Updated PoliciesHospital Beds and Accessories05.00.56k8/12/2022 9:00 AM9/12/20229/12/2022General Description, Guidelines, or Informational Update
Updated PoliciesHigh-Technology Radiology Services09.00.46al9/11/20229/12/2022Medical Necessity Criteria
Updated PoliciesAqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma11.05.16k6/20/2022 12:00 PM9/19/20229/19/2022Medical Coding
Updated PoliciesCorneal Pachymetry Using Ultrasound07.13.07l6/20/2022 12:00 PM9/19/20229/19/2022Medical Coding
Reissue PoliciesFull-Body Monoplace or Multiplace Chamber Hyperbaric Oxygen Therapy07.00.03o1/31/20229/7/20229/7/2022
Reissue PoliciesDay Rehabilitation10.00.02c1/13/20209/7/20229/7/2022
Reissue PoliciesOsteogenic Stimulators (non-invasive, invasive/semi-invasive, electrical and ultrasound)05.00.811/10/20219/7/20229/7/2022
Reissue PoliciesModifier 50: Bilateral Procedure03.00.05t7/1/20229/7/20229/7/2022
Reissue PoliciesModifier 62: Two Surgeons00.10.11t7/1/20229/7/20229/7/2022
Reissue PoliciesModifiers 26 (Professional Component) and TC (Technical Component)03.00.20o7/1/20229/7/20229/8/2022
Reissue PoliciesEndovascular Grafts for Abdominal Aortic Aneurysms (AAA), Aortic-Iliac Aneurysms, and Infrarenal Aortic Aneurysms11.02.10p1/1/20229/21/20229/21/2022
Reissue PoliciesSpeech Therapy10.06.01l1/1/20209/21/20229/21/2022
Reissue PoliciesImmune Prophylaxis for Respiratory Syncytial Virus (RSV)08.00.22o9/13/20219/21/20229/22/2022
Reissue PoliciesTranscatheter Closure of Cardiac Septal Defects11.02.11g11/17/20179/21/20229/22/2022
Reissue PoliciesProcedures for the Treatment of Acne11.08.29e10/1/20169/21/20229/22/2022