Reimbursement Policy Updates

Bundled Services and Supplies – Professional

Beginning with dates of service on or after November 1, 2018, Empire has added information to Section 1 of our policy that charges for copies of x-rays or DVDs are considered always bundled services and not eligible for separate reimbursement.

 

Once per Lifetime Procedures – Professional

Empire’s Once per Lifetime Procedures policy received a biennial review and we are removing modifier 58 from the policy.  Modifier 58 is used to report a staged or related procedure by the same physician during the postoperative period and would not be used for a once per lifetime procedure if that procedure was previously performed on the patient.