Inpatient/Outpatient Unbundling Policy |
Policy Number |
Effective Date |
End Date |
---|
|
|
|
|
---|
Inpatient/Outpatient Unbundling Policy |
CPCP002 |
04/01/2019 |
09/29/2019 |
Inpatient/Outpatient Unbundling Policy V6 |
CPCP002 |
09/30/2019 |
12/04/2020 |
Preventive Services Policy |
Policy Number |
Effective Date |
End Date |
---|
Preventive Services Policy V1 |
CPCP006 |
01/01/2023 |
02/28/2023 |
Preventive Services Policy V1 |
CPCP006 |
10/01/2022 |
12/31/2022 |
Preventive Services Policy V1 |
CPCP006 |
09/01/2022 |
09/30/2022 |
Preventive Services Policy V1 |
CPCP006 |
07/01/2022 |
08/31/2022 |
Preventive Services Policy V1 |
CPCP006 |
03/01/2022 |
06/30/2022 |
Preventive Services Policy V1 |
CPCP006 |
01/01/2022 |
03/31/2022 |
Preventive Services Policy V2 |
CPCP006 |
07/01/2021 |
09/30/2021 |
Preventive Services Policy V2 |
CPCP006 |
04/01/2021 |
07/01/2021 |
Preventive Services Policy V2 |
CPCP006 |
01/15/2021 |
04/01/2021 |
Preventive Services Policy V2 |
CPCP006 |
01/01/2021 |
01/15/2021 |
Preventive Services Policy V2 |
CPCP006 |
07/01/2020 |
09/30/2020 |
Preventive Services Policy V 2.0 |
CPCP006 |
10/15/2019 |
01/01/2020 |
Preventive Services Policy V 1.0 |
CPCP006 |
04/01/2020 |
|
Preventive Services Policy V 6.0 |
CPCP006 |
01/01/2020 |
N/A |
Preventive Services Policy V1 |
CPCP006 |
10/01/2020 |
01/01/20 |
Psychological and Neuropsychological Testing |
Policy Number |
Effective Date |
End Date |
---|
Psychological and Neuropsychological Testing V1 |
CPCP008 |
03/31/2021 |
12/16/2022 |
Psychological and Neuropsychological Testing V2 |
CPCP008 |
03/04/2020 |
03/31/2021 |
Psychological and Neuropsychological Testing V5 |
ECPCP008 |
3/01/2018 |
3/4/2020 |
Co-Surgeon/Team Surgeon Modifiers |
Policy Number |
Effective Date |
End Date |
---|
Co-Surgeon/Team Surgeon Modifiers V1 |
CPCP009 |
09/16/2020 |
10/04/2021 |
Co-Surgeon/Team Surgeon Modifiers V4 |
CPCP009 |
01/01/2019 |
09/16/2020 |
Anesthesia |
Policy Number |
Effective Date |
End Date |
---|
Anesthesia |
CPCP010 |
10/13/2021 |
9/30/2020 |
Applied Behavior Analysis |
Policy Number |
Effective Date |
End Date |
---|
Applied Behavior Analysis V9 |
CPCP011 |
02/22/2019 |
3/6/2020 |
Applied Behavior Analysis V1 |
CPCP011 |
03/28/2020 |
11/25/2020 |
Applied Behavior Analysis V2 |
CPCP011 |
11/25/2020 |
12/18/2020 |
Hernia Repair |
Policy Number |
Effective Date |
End Date |
---|
Hernia Repair |
CPCP012 |
06/18/2021 |
04/22/2022 |
Global Surgical Package |
Policy Number |
Effective Date |
End Date |
---|
Global Surgical Package |
CPCP014 |
01/25/2019 |
04/30/2020 |
Global Surgical Package |
CPCP014 |
04/30/2020 |
05/11/2021 |
Global Surgical Package |
CPCP014 |
05/11/2021 |
08/02/2022 |
Multiple Surgical Procedures |
Policy Number |
Effective Date |
End Date |
---|
Multiple Surgical Procedures v1 |
CPCP015 |
08/24/2021 |
06/24/2022 |
Multiple Surgical Procedures V1 |
CPCP015 |
07/07/2020 |
08/24/2021 |
Multiple Surgical Procedures V6 |
CPCP015 |
02/22/2019 |
07/07/2020 |
Chiropractic Services |
Policy Number |
Effective Date |
End Date |
---|
Chiropractic Services |
CPCP016 |
08/15/2019 |
09/25/2020 |
Wasted/Discarded Drugs and Biologicals Guideline |
Policy Number |
Effective Date |
End Date |
---|
Wasted/Discarded Drugs and Biologicals Guideline V4 |
CPCP017 |
10/26/2021 |
02/13/2023 |
Wasted/Discarded Drugs and Biologicals Guideline V3 |
CPCP017 |
09/11/2020 |
10/26/2021 |
Wasted/Discarded Drugs and Biologicals Guideline V5 |
CPCP017 |
06/26/2019 |
09/11/2020 |
Home Infusion |
Policy Number |
Effective Date |
End Date |
---|
Home Infusion V 3.0 |
CPCP019 |
09/07/2021 |
01/03/2023 |
Home Infusion V 2.0 |
CPCP019 |
6/17/2020 |
09/07/2021 |
Home Infusion V 2.0 |
CPCP019 |
06/30/2020 |
04/30/2020 |
Drug Testing |
Policy Number |
Effective Date |
End Date |
---|
Drug Testing Clinical Payment and Coding Policy (Retired 12/31/2021) |
CPCP020 |
10/22/2021 |
12/31/2021 |
Drug Testing Policy |
CPCP020 |
09/04/2020 |
10/21/2021 |
Drug Testing Policy |
CPCP020 |
12/20/2020 |
09/04/2020 |
Laboratory Panel Billing |
Policy Number |
Effective Date |
End Date |
---|
Laboratory Panel Billing |
CPCP021 |
06/04/2021 |
07/30/2021 |
Laboratory Panel Billing |
CPCP021 |
07/30/21 |
04/06/21 |
Pneumatic Compression Devices – Outpatient Use |
Policy Number |
Effective Date |
End Date |
---|
Pneumatic Compression Devices – Outpatient Use |
CPCP022 |
01/14/2022 |
02/13/2023 |
Pneumatic Compression Devices – Outpatient Use |
CPCP022 |
07/01/2019 |
08/31/2020 |
Modifier Reference Guideline |
Policy Number |
Effective Date |
End Date |
---|
Modifier Reference Guideline V1 |
CPCP023 |
04/08/22 |
05/13/22 |
Modifier Reference Guideline V2 |
CPCP023 |
03/31/21 |
04/08/22 |
Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding |
Policy Number |
Effective Date |
End Date |
---|
Therapeutic, Prophylactic and Diagnostic Injection and Infusion Coding V3 |
CPCP026 |
10/05/21 |
01/03/23 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
Policy Number |
Effective Date |
End Date |
---|
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V3 |
CPCP028 |
08/01/22 |
12/31/22 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V3 Effective Date 4/22/22 |
CPCP028 |
08/01/22 |
12/31/22 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V2 Effective Date 4/15/22 |
CPCP028 |
04/15/22 |
04/15/2022 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V2 |
CPCP028 |
07/01/2021 |
04/01/2022 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V10 Effective Date 1/1/21 |
CPCP028 |
01/01/2021 |
03/01/2021 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V10 Effective Date 3/1/21 |
CPCP028 |
03/01/2021 |
04/01/2021 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V10 Effective Date 4/1/21 |
CPCP028 |
04/01/2021 |
05/15/2021 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) V1 Effective Date 5/15/21 |
CPCP028 |
05/15/2021 |
07/01/2021 |
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
11/20/2020 |
|
Non-Reimbursable Experimental, Investigational and/or Unproven Services (EIU) |
CPCP028 |
09/01/2020 |
12/01/2020 |
Medical Record Documentation |
Policy Number |
Effective Date |
End Date |
---|
Medical Record Documentation Guidelines V5 |
CPCP029 |
09/22/2021 |
09/15/2022 |
Medical Record Documentation Guidelines V1 |
CPCP029 |
03/31/2021 |
09/21/2021 |
Medical Record Documentation Guidelines V1 |
CPCP029 |
02/06/2020 |
03/31/2021 |
Medical Record Documentation |
OKCPCP01 |
09/01/2018 |
02/05/2020 |
Trauma Activation- Facility Services |
Policy Number |
Effective Date |
End Date |
---|
Trauma Activation- Facility Services V1 |
CPCP031 |
05/22/2021 |
02/24/2022 |
Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline |
Policy Number |
Effective Date |
End Date |
---|
Intraoperative Neurophysiology Monitoring (IONM) Coding and Reimbursement Guideline V3 |
CPCP032 |
07/30/2021 |
04/22/2022 |
Telemedicine and Telehealth Services |
Policy Number |
Effective Date |
End Date |
---|
Telemedicine and Telehealth Services V5 |
CPCP033 |
02/08/2020 |
03/18/2021 |
Telemedicine and Telehealth Services V10 |
CPCP033 |
01/01/2021 |
02/08/2021 |
Telemedicine and Telehealth Services V9 |
CPCP033 |
01/01/2021 |
01/01/2021 |
Telemedicine and Telehealth Services V10 |
CPCP033 |
03/18/2022 |
03/28/2022 |