Professional Reimbursement Policy Update

Bundled Services and Supplies

We are updating our policy to move the Section 1 code list that is currently within the policy to a separate document titled “Bundled Services and Supplies Section 1 Coding.”

 

Review of Reimbursement Policies

The following professional reimbursement policies received a review and may have minor language changes; however, the changes do not cause significant changes to the policies’ position or criteria:

• Documentation Reporting Guidelines for Consultations 
• Duplicate Reporting of Diagnostic Services
• Frequency Editing
• Overhead Expense for Office Based Surgery and Diagnostic Testing 
• Sleep Studies and Related Bundled Services & Supplies
• Unit Frequency Maximums for Drugs and Biologic Substances