Payment Policy Updates August 2019

The following Payment Policy has been withdrawn:

Blood Draw/Venipuncture with Office Visit E&M Code
Premera has chosen to not move forward with enforcing the Payment Policy titled “Blood Draw/Venipuncture with Office Visit E&M Code” that was to become effective as of 06/09/2019. The policy has been removed from the external Provider portals and at this time no future editing will be developed for this coding scenario.

Here are the latest updates to our payment policies. You’ll need to log in to see the policy updates.

August 15, 2019

All of the following policies were annually reviewed with no changes:

• Elective Abortions-Facility Services
• Elective Abortions-Professional Services
• Modifier GA-Waiver of Liability Issued as Required by Payer Policy

All of the following policies were annually review with minor changes:

• Modifier 26-Professional Component
• Modifier TC-Technical Component
  Clarified the description of the “all other PC/TC” indicators in the 4th paragraph of both policies

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