New reimbursement policy: Place of Service — Professional

As of December 10, 2024, we retired the reimbursement policies titled Office Place of Service — Professional C‑13004 and Place of Service — Professional C‑09001. These policies have been combined to create a new reimbursement policy titled Place of Service — Professional C‑24004.

Under this policy, we require the appropriate place of service code to be billed on a CMS‑1500 claim form to be eligible for reimbursement. The place of service is determined by the following:

• CPT^® or HCPCS Level II code description
• CPT coding guidelines

For specific policy details, visit the reimbursement policies page at https://tinyurl.com/2p9m33r4.