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Medicare Advantage Preferred Provider Organization (MA PPO)
Applicable to enrollees from other Blue Cross Blue Shield Medicare Advantage Plans who obtain health care services within the 5-county Philadelphia service area.
Policy Bulletins
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News & Announcements
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Published
Notification
Always Bundled Procedure Codes
Notification Issued Date:
N/A
MPNotificationDescriptionPub
This AmeriHealth New Jersey Medicare Advantage policy will become effective 01/01/2024.
Policy Attachment
Attachment to Policy #
MA00.026w
Attachment:
A
Policy #:
MA00.026w
Description:
Always Bundled Procedures (MPFSD Indicator B)
Title:
Always Bundled Procedure Codes
MPNewsFLASHPub
MPBodyPub
Always Bundled Procedures and Services
Procedure Code
20930
20936
22841
34839
36000
36416
38204
38225
38226
38227
90885
90887
90889
92352
92353
92354
92355
92358
92371
92531
92532
92533
92534
92605
92606
92618
92921
92925
92929
92934
92938
92944
93740
93770
94005
94150
96902
97010
97602
98960
98961
98962
99000
99001
99002
99024
99050
99051
99053
99056
99058
99060
99070
99071
99072
99078
99080
99100
99116
99135
99140
99288
99366
99367
99368
99374
99377
99379
99380
99485
99486
A4262
A4263
A4270
A4300
A4550
G0269
G0501
Q3031
R0076
Version Effective Date:
01/01/2025
Version Issued Date:
02/25/2025
Version Reissued Date:
N/A
Claim Payment Policy Bulletin
Medicare Advantage
b8057771-0f7d-4c4f-9e51-9bbd0cf78521
Yes
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