Here are the latest updates to our payment policies. You’ll need to log in to see the policy updates.
- Global Surgery
- In the Policy section, added clarification to the descriptions for 000/010/090 global days and clarification of the ZZZ add-on codes section
- Added a new bullet in the segment Services Included in the Global Surgery Payment and the segment Services Not Included in the Global Surgery Payment to reflect actual editing and auditing by Calypso
- Maternity Services
Added new section Codes/Coding Guidelines and added a description of all of the codes reviewed in the Policy section
- Modifier 33 - Preventive Services
Annual review; no changes
- Modifier 59 - Distinct Procedural Service
Added paragraph at the end of the Policy section noting that modifier 59 is not to be billed with modifiers XE, XS, XP, or XU per correct coding guidelines
- Modifier 90 - Reference (Outside) Laboratory
Annual review; no changes
- Modifiers XE, XS, XP, and XU – Separate Encounter, Separate Structure, Separate Practitioner, and Unusual Overlapping Service
Annual review; no changes