09/25/2023
| This version of the policy will become effective 09/25/2023. Policy number 00.03.10f is being issued to introduce a radiology capitation exception to allow specific obstectrical Ultrasounds reimbursement consideration by the Company when performed in the office setting by Nurse Midwife specialty, to rule out Ectopic Pregnancy, as identified in Attachment B of this policy.
Nurse Midwife provider type has been added to the following codes in Attachment B:
S8055, 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76815, 76816, 76817, 76825, 76826, 76827, 76828, 76830, 76831, 76856, 76857, 76999
In addition, the code set has been expanded to to allow OBGYN specialty to report the following OB ultrasounds & ecohcardio when performed in the office setting, as identified in Attachment B of this policy:
S8055, 76801, 76802, 76805, 76810, 76811, 76812, 76813, 76814, 76816, 76825, 76826, 76827, 76828, 76831, 76999 |