Payment Policy Updates from September 2024

• October 3, 2024

  The following policies received their annual review with no changes:

  • Add on Codes
  • Evaluation and Management (E&M) Visit Billed with Preventive Medicine Examination
  • Group Psychotherapy Services (90853)
  • Teledentistry Services
  • Modifier 25
  • Modifier 54, 55, 56-Surgical Care Only/Postoperative Management Only/Preoperative Management Only
  • Modifier 58 - Staged or Related Procedure or Service by Same Physician or Other Qualified Healthcare Professional during Postoperative Period
  • Modifier 91 – Repeat Clinical Diagnostic Laboratory Test
  • Screening Services with Evaluation and Management (E&M) Services

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