As previously announced, we will deny any claims starting Dec. 6, 2024, that have a diagnosis of acute stroke (I63.-) or sepsis (A41.-) when billed with an outpatient place of service (POS) code. See our original announcement on acute stroke and sepsis coding and our coding edits policies:
ConnectiCare: Coding Edits Policy
EmblemHealth: Coding Edits Policy
JP 67475 11/2024