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News & Announcements10/01/2024 CPT & HCPCS Quarterly Code Update Coverage Determinations for Commercial Products10/1/2024
Updated PoliciesSacral Nerve Stimulation (SNS) and Posterior Tibial Nerve Stimulation (PTNS) for the Control of Incontinence11.17.04y10/1/202410/1/2024Medical Necessity Criteria;Medical Coding
Reissue PoliciesProcedures for the Treatment of Gastroesophageal Reflux Disease (GERD)11.03.11q1/2/202310/2/202410/2/2024
Reissue PoliciesInterleukin-5 (IL-5) Antagonist (e.g., Cinqair®)08.01.23i10/4/202110/2/202410/2/2024
Reissue PoliciesLoncastuximab tesirine-lpyl (Zynlonta®)08.00.59c10/23/202310/2/202410/2/2024
Reissue PoliciesChemical Peels11.08.08h12/26/202210/2/202410/2/2024
Reissue PoliciesProcedures for the Treatment of Acne11.08.29e10/1/201610/2/202410/2/2024
Reissue PoliciesSelective Photothermolysis Using Pulsed-Dye Lasers (PDL)11.08.04i7/11/202210/2/202410/2/2024
Coding UpdateUltraviolet Light Therapy for the Treatment of Dermatological Conditions07.07.02o10/1/202410/1/2024
Coding UpdateTreatment of Medical and Surgical Complications11.00.02i10/1/202410/1/2024
Coding UpdateVagus Nerve Stimulation (VNS)11.15.16v10/1/202410/1/2024
Coding UpdateBrentuximab Vedotin (Adcetris®)08.01.13j10/1/202410/1/2024
Coding UpdatePrescription Digital Therapeutics and Mobile-Based Health Management Applications12.00.05c10/1/202410/1/2024
Coding UpdateAmbulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Devices07.02.09j10/1/202410/1/202410/1/2024
Coding UpdateHair Transplants and Cranial Prostheses (Wigs)11.08.01h10/1/202410/1/202410/1/2024
Coding UpdateHome Prothrombin Time Monitoring05.00.26l10/1/202410/1/202410/1/2024
Coding UpdateKnee Orthoses05.00.47t10/1/202410/1/202410/1/2024
Coding UpdateTranscutaneous Electrical Nerve Stimulators (TENS) and Associated Supplies05.00.74j10/1/202410/1/202410/1/2024
Coding UpdateCarfilzomib (Kyprolis®)08.01.05k10/1/202410/1/2024
Coding UpdateEquipment, Supplies, and Pharmaceuticals for the Treatment of Diabetes05.00.05s10/1/202410/1/2024
Coding UpdateEsophagogastroduodenoscopy (EGD) and Endoscopic Retrograde Cholangiopancreatography (ERCP)07.02.22h10/1/202410/1/2024
Coding UpdateHome-Based Sleep Studies07.03.01d10/1/202410/1/2024
Coding UpdateDenervation of the Spinal  Nerves for Chronic Pain (Independence Administrators)11.15.09q10/1/202410/1/2024
Coding UpdateAnesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management01.00.12c10/1/202410/1/2024
Coding UpdateTranscatheter Cardiac Valve Procedures11.02.25j10/1/202410/1/2024
Coding UpdateWireless Capsule Endoscopy for Gastrointestinal (GI) Disorders07.05.02s10/1/202410/1/2024
Coding UpdateNivolumab (Opdivo®)08.01.62d10/1/202410/1/2024
Coding UpdateEpcoritamab-bysp (EPKINLY™)08.02.12a10/1/202410/1/2024
Coding UpdateDermabrasion for Rhinophyma, Septoplasty, Rhinoplasty, and Septorhinoplasty11.16.01l10/1/202410/1/2024
Coding UpdateDrug-Eluting Beads and Bland Embolization for the Treatment of Hepatic Malignancies07.05.07e10/1/202410/1/2024
Coding UpdatePanniculectomy, Abdominoplasty, Abdominal Lipectomy, and Other Excisions of Redundant Skin11.08.06k10/1/202410/1/2024
Coding UpdateRadioembolization for Primary and Metastatic Tumors of the Liver09.00.48h10/1/202410/1/2024
Coding UpdateRadioimmunotherapy with Ibritumomab Tiuxetan (Zevalin®) (Independence Administrators)08.00.08k10/1/202410/1/2024
Coding UpdateRemoval of Breast Implants11.08.14o10/1/202410/1/2024
Coding UpdateSpeech and Non-Speech Generating Devices05.00.32m10/1/202410/1/2024
Coding UpdateTranscatheter Arterial Chemoembolization (TACE) of Hepatic Malignancies07.05.06h10/1/202410/1/2024
Coding UpdateOctreotide Acetate (Sandostatin® LAR Depot)08.01.10j10/1/202410/1/2024
Coding UpdateAutonomic Nervous System Testing07.03.23g10/1/202410/1/202410/1/2024
Coding UpdatePreventive Care Services00.06.02as10/1/202410/1/2024
Coding UpdatePemetrexed (Pemfexy™)08.00.87n10/1/202410/1/2024
Coding UpdateTeplizumab-mzwv (Tzield)08.01.99a10/1/202410/1/2024
Coding UpdateTreatments for Complex Regional Pain Syndrome (CRPS)08.00.57s10/1/202410/1/2024
Coding UpdateSelf-Administered Drugs and Biologics08.00.78as10/1/202410/1/2024
Coding UpdateOmalizumab (Xolair®)08.00.55k10/1/202410/1/2024
Coding UpdateCoverage of Anticancer Prescription Oral and Injectable Drugs and Biologics and Supportive Agents08.01.08r10/1/202410/1/2024
Coding UpdateImmune Globulin Intravenous (IVIG), Subcutaneous (SCIG)08.00.13ai10/1/202410/1/2024
Coding UpdateTafasitamab-cxix (Monjuvi®)08.01.81d10/1/202410/1/2024
Coding UpdateAsparaginase Erwinia Chrysanthemi (Erwinaze®), asparaginase erwinia chrysanthemi (recombinant)-rywn (Rylaze®)08.01.35h10/1/202410/1/2024
Coding UpdateChimeric Antigen Receptor (CAR) Therapy08.01.43n10/1/202410/1/2024
Coding UpdateDenosumab (Prolia®, Xgeva®), Romosozumab-aqqg (Evenity®)08.00.94s10/1/202410/1/2024
Coding UpdateGlofitamab-gxbm (Columvi)08.02.07c10/1/202410/1/2024
Coding UpdateBevacizumab (Avastin®) and Related Biosimilars For Oncologic Use08.00.66v10/1/202410/1/2024
Coding UpdateLanreotide (Somatuline® Depot)08.01.40g10/1/202410/1/2024
Coding UpdatePaclitaxel Protein-Bound Particles for Injectable Suspension (Albumin-Bound)/(Abraxane® for Injectable Suspension)08.00.90r10/1/202410/1/2024
Coding UpdatePembrolizumab (Keytruda®)08.01.63e10/1/202410/1/2024
Coding UpdateScanning Computerized Ophthalmic Diagnostic Imaging (SCODI)07.13.06n10/1/202410/1/2024
Coding UpdateInsertion of Implantable Infusion Pumps11.15.03o10/1/202410/1/2024
Coding UpdatePhotodynamic Therapy (PDT) Using Verteporfin (Visudyne®)07.13.05l10/1/202410/1/2024
Coding UpdateWound Care: Skin Substitutes for the Treatment of Burns and Chronic, Non-Healing Wounds11.08.20am10/1/202410/1/2024
Coding UpdateModifier 62: Two Surgeons00.10.11aa10/1/202410/4/2024
Coding UpdateModifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS00.10.18y10/1/202410/4/2024
Coding UpdateModifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service03.00.06aa10/1/202410/4/2024