4/1/2020 CPT & HCPCS Quarterly Code Update Coverage Determinations for Medicare Advantage Products (revised 05/04/2020)



    Purpose

    The intent of this news article is to communicate Medicare Advantage Product coverage determinations for services identified through the Quarterly Code Update process. The procedure codes that represent these services will become effective on 4/1/2020.

    For more information related to these services, refer to specific policies when applicable.



    Coverage Statement

    As a result of the Quarterly Code Update process, the following services have been reviewed, and coverage determinations made by the Company are identified below. The procedure codes that represent these services will be effective on 4/1/2020.



    Coding

    Inclusion of a code in this article does not imply reimbursement. Medical Necessity, eligibility, benefits, limitations, exclusions, precertification/referral requirements, provider contracts, and Company policies apply.


    ELIGIBLE SERVICES

    0168U
    * 86328
    * 86769
    * 87635
    C9053
    C9056
    C9057
    C9058
    * G2023
    * G2024
    G2168
    G2169
    * U0001
    * U0002
    * U0003

    * U0004

    * Codes 86328, 86769 are effective 4/10/2020. Code 87635 is effective 3/13/2020. Codes G2023, G2024 are effective 3/1/2020. Codes U0001, U0002 are effective 2/4/2020. Codes U0003, U0004 are effective 4/14/2020.


    NOT ELIGIBLE FOR REIMBURSEMENT

    G1012
    G1013
    G1014
    G1015
    G1016
    G1017
    G1018
    G1019


    EXPERIMENTAL/INVESTIGATIONAL SERVICES

    0014M
    0163U
    0164U
    0165U
    0166U
    0167U
    0169U
    0170U
    0171U

    Issued on - 04/01/2020

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