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Commercial Reimbursement Policy Updates for October 1, 2024
| Reimbursement Policy | Revision |
|---|---|
| Anesthesia Services, Professional and Facility (PDF) | Added language to update physical status modifiers, disallowing additional reimbursement. RPOC approved. Notification on 08/01/2024 and effective 10/01/2024. |
| Bundling Guidelines (PDF) | Updated radiology contrast bundling rules for facility and professional services. RPOC Approved. Notification on 08/01/2024 for effective date 10/01/2024. Added Pelvic Examination (99459) is eligible for reimbursement of supplies and chaperoning, effective 8/1/24. |
| Facility Billing Guidelines (PDF) | Removed “Devices, Implants, Blood Products, & Imaging Agents” section. Section can be found in Supply and Equipment reimbursement policy. Minor revision only. |
| Supply Equipment (PDF) | Clarified “imaging agents” mean therapeutic imaging agents. RPOC Approved. Notification on 08/01/2024 for effective date 10/01/2024 |
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