This version of the policy will become effective 01/01/2020. As a result of the 01/01/2020 Annual Code Update, the following codes have been added to this policy business requirements to accommodate system setup. This policy document does not contain procedure codes.
The following CPT and HCPCS codes have been deleted from this policy requirements: 0482T, 74241, 74245, 74247, 74249, 74260, 76930, 78205, 78206, 78320, 78607, 78647, 78710, 78805, 78806, 78807, 95827, 95950, 95951, 95953, 95956, and G0365
The following CPT codes have been added to this policy requirements: 74221, 74248, 78429, 78430, 78431, 78432, 78433, 78434, 78830, 78831, 78832, 78835, 92549, 93985, 93986