| 2025/03/31 |
Correct Usage of Modifier 50 and Modifiers LT and RT for Bilateral Procedures |
| 2021/01/01 |
EmblemHealth Preventive Care/Screening Services Coverage (Revised) |
| 2021/02/04 |
EmblemHealth Guide for NPIs and Taxonomy Codes |
| 2021/02/04 |
Gender Rules and ICD 10-CM F64.0 |
| 2021/02/04 |
Additions to the Self-Referral Payment Policy List |
| 2021/01/11 |
National Drug Code (NDC) Requirements for Drug Claims |
| 2020/11/06 |
Coding updates for Medical Policies |
| 2020/10/19 |
Denial of CPT Codes Billed With Bariatric Surgery |
| 2020/10/14 |
Future Steps Pregnancy App |
| 2020/08/20 |
EmblemHealth 5010 HIPAA Transaction Standard Companion Guides |
| 2020/06/25 |
New CPT Codes |
| 2018/12/18 |
Emergency Ground Ambulance Destination Modifier |
| 2016/12/27 |
2017 ClaimsXten Edits |
| 2016/01/28 |
New and Revised Place of Service Codes (POS) for Outpatient Hospital |
| 2020/06/12 |
Anesthesia for Pain Management Injections –Commercial (Updated) |
| 2018/07/16 |
Anesthesia Modifier Reporting |
| 2020/06/12 |
APG Rate Codes |
| 2017/02/03 |
Billing Instructions for Long Acting Injectable Antipsychotics, Vivitrol and Injectable Naloxone |
| 2018/07/19 |
Canalith Repositioning Therapy – CPT 95992 |
| 2018/07/16 |
Cardiovascular Evaluation with Tilt Table Testing –CPT code 93660 |
| 2018/07/16 |
Care Management Services |
| 2012/05/22 |
Category II CPT Codes |
| 2014/09/30 |
Change in CPT Codes for Qualitative Drug Screen Testing |
| 2014/11/12 |
Changes to HCPCS Modifier 59 |
| 2018/03/23 |
Chest X-Rays for Lung Cancer Screening |
| 2015/06/26 |
ClaimsXten® — Claims Audit Software |
| 2019/05/03 |
Clinical Laboratory Improvement Amendment Waived Tests |
| 2018/09/07 |
Clinical Trial Billing Requirements |
| 2014/07/17 |
CMS Requires HIPPS and Rate Codes for SNF and HHA Claims |
| 2018/11/12 |
Code J7313, Brand Name: Iluvien |
| 2018/05/23 |
Coding Antepartum Care by Different Provider Groups |
| 2015/06/23 |
Coding—New Oral Antiemetic Drug Akynzeo® |
| 2018/02/26 |
Colonoscopy Procedures |
| 2014/04/04 |
Complete and Accurate Medical Record Documentation and Coding Critical to Patient Care |
| 2018/07/16 |
Corneal Pachymetry –CPT Code 76514 |
| 2015/10/08 |
Correct Bundling of Urinalysis CPT Codes 81002 and 81003 With Evaluation and Management CPT Codes |
| 2018/10/01 |
Correct Laterality ICD-10-CM Diagnosis Coding Policy |
| 2015/08/27 |
Correct Usage of Modifier 25 |
| 2014/11/07 |
Correct Usage of Modifier 50 and Modifiers LT and RT for Bilateral Procedures |
| 2016/01/14 |
CPT Code 31634 Considered Unproven Technology |
| 2016/07/22 |
CPT ICD Diagnosis Code Changes |
| 2020/06/12 |
Daily Max Units Regardless of Modifier |
| 2018/07/16 |
Definitive Drug Testing Frequency |
| 2012/05/09 |
Discontinue Use of CPT Codes Retired January 1, 2012 |
| 2016/01/01 |
Drug Testing and Screening Code Updates |
| 2018/03/23 |
Dual Energy X-Ray Absorptiometry |
| 2019/05/03 |
Duplicate Claims from a Non-Physician Practitioner |
| 2018/07/16 |
Duplicate Initial Observation Service |
| 2014/08/05 |
Effective Coding of Evaluation and Management Services |
| 2019/07/30 |
Electroencephalogram |
| 2018/12/18 |
Emergency Ground Ambulance Destination Modifier |
| 2010/08/19 |
Evaluation and Management Codes Not Payable to Audiology and Speech Language Pathology Specialties |
| 2014/11/11 |
Expanded Coverage for Fragile X Syndrome - Prenatal Carrier Testing |
| 2014/11/25 |
Expanded Coverage for Spinal Muscular Atrophy - Prenatal Carrier Testing |
| 2018/09/07 |
Extracorporeal Photopheresis (CPT code 36522) |
| 2020/06/12 |
Frequency of Routine Foot Care |
| 2019/05/03 |
Fundus Photography |
| 2015/04/24 |
Global Surgery Reimbursement Policy Concerning an Unplanned Return to the Operating Room; Modifier 78 will receive a 20% Fee Reduction* |
| 2018/11/12 |
HCPCS code J9357 |
| 2014/04/04 |
HIPPS and Rate Codes for SNF and HHA Claims Required/ Keeping Accurate Documentation and Coding - Critical to Patient Care |
| 2020/06/12 |
Hospital Discharge Services |
| 2018/12/06 |
ICD-10-CM Excludes 1 Notes Policy |
| 2020/06/12 |
ICD-10-CM Secondary Diagnosis Codes |
| 2015/03/25 |
Important Coding Information with Regard to DME Modifiers |
| 2014/01/17 |
Limitations to Pain Management Services |
| 2018/07/16 |
Lung Cancer Screening with Low Dose Computed Tomography Frequency |
| 2014/12/02 |
Maternity Claims: Multiple Birth Reimbursement |
| 2016/12/14 |
Moderate (Conscious) Sedation |
| 2018/09/07 |
Modifier 24 with E/M Services During the Major and Minor Procedures Postoperative Period |
| 2018/07/19 |
Modifier 25 with Evaluation and Management Services Reported with Procedures |
| 2020/06/12 |
Modifiers for Services and Procedures During the Postoperative Period |
| 2016/06/30 |
New ClaimsXten Edits -Effective August 14, 2016 |
| 2016/03/01 |
New ClaimsXten® Edits for Facility-Based Services |
| 2018/01/12 |
New Reporting Instructions for Colon Cancer Screening Anesthesia Services and New 2018 CPT Code Updates to the EmblemHealth Preventive Care/Screening Services Exempt from Cost-Share |
| 2016/03/29 |
New York State Medicaid Expansion of Coverage of Group A Streptococcus Testing for Practitioners |
| 2018/05/22 |
Noninvasive Vascular Diagnostic Studies |
| 2018/07/19 |
Tumor Antigen by Immunoassay CA 15-3/CA 27.29 – CPT 86300 |
| 2014/03/25 |
Update on Denial of CPT Codes Billed With Bariatric Surgery |
| 2019/08/19 |
Update to ClaimsXten Software |
| 2016/08/30 |
Upper Eyelid Blepharoplasty and Blepharoptosis Repair |
| 2016/01/28 |
Use of Modifier 25 and Pulmonary Function Testing |
| 2018/08/01 |
Use of Modifier 79 |
| 2020/06/12 |
Use of Sequela (7th character "S") Diagnosis Codes |
| 2020/06/12 |
Using and Documenting CPT Code 99211 Services Correctly |
| 2020/06/12 |
Vaccines for Children (VFC) Program Update: Fee Schedule Code Revisions |
| 2020/06/10 |
Reporting Multiple Office Visits and Modifier - 25 |
| 2020/06/01 |
Quality Reporting for MACRA (Reporting only Codes) |
| 2020/06/09 |
Cytogenetic Studies |
| 2020/03/25 |
New Outpatient Facility Policy Enhancements |
| 2020/03/18 |
Coding updates for Medical Policies |
| 2019/10/01 |
Screening Electrocardiogram for Coronary Disease |
| 2019/10/01 |
Shingles Vaccination Covered Under Medicare Part D |
| 2019/10/01 |
Ophthalmic Ultrasound CPT Code 76513 |
| 2019/09/29 |
Pilonidal Cyst and Sinus Procedures |
| 2019/09/29 |
POA Indicator |
| 2019/09/29 |
Postpartum Maternal Depression Screening: Updated Billing Guidance |
| 2019/09/29 |
Proper Coding for Accurate Reimbursement |
| 2019/09/29 |
Required Use of Occurrence Codes 40 and 41 for Presurgical and Preadmission Testing |
| 2019/09/27 |
Ocular Blood Flow Testing |
| 2019/09/27 |
Pain Management -Trigger Point Injections -CPT codes 20552 and 20553 |
| 2019/09/13 |
Pelvic Ring Fractures |
| 2021/06/16 |
NY State Medicaid: Smoking and Tobacco Use Cessation |
| 2021/06/16 |
Diagnosis Code Guideline Policies: Manifestation and Secondary Codes |
| 2021/06/16 |
Duplicate Claims for Drugs |
| 2021/06/16 |
NY State Medicaid: Allergy Testing |
