ND Committee Review
Internal Medical Policy Committee 7-16-2019
- Added procedure codes 0543T; 0544T; 0545T; 0546T; 0547T; 0548T; 0549T: 0550T; 0551T; 0552T; 0553T; 0554T; 0555T; 0556T; 0557T; 0558T; 0559T; 0560T; 0561T; 0562T; 0085U; 0091U; 0092U; 0093U; 0095U; and
- Removed procedure codes C9746; 0509T; 92273; 92274; S8930
- Removed procedure codes 0006U; 0007U; 0011U; 0051U; 0054U; 0082U; 55874
- Added procedure code C9250
Internal Medical Policy Committee 9-26-2019
- Added procedure codes 0105U; 0106U; 0107U; 0108U; 0110U; 0121U; 0122U; 0123U; 0124U; 0125U; 0126U; 0127U; 0128U; and
- Removed procedure codes 0011M; 0012M; 0013M; 0250T; 0251T; 0252T; 0288T; 0399T; 0040U; 0067U; 0068U; 0070U; 0071U; 0072U; 0073U; 0074U; 0075U; 0076U; 0078U; 0079U; Q4193; Q4194; Q4195; Q4196; and Q4197.
Internal Medical Policy Committee 1-22-2020 new code update
- Added procedure codes 0139U; 0143U; 0144U; 0145U; 0146U; 0147U; 0148U; 0149U; 0569T; 0570T; 0581T; 0582T; 0564T; 0565T; 0566T; 0571T; 0572T; 0573T; 0574T; 0575T; 0576T; 0577T; 0578T; 0579T; 0580T; 0583T; 0563T; 0567T; 0568T; 64454; 64624; 64625; C1734; C1824; C1839; C1982; C2596; C9758; K1001; K1002; L2006; and
- Removed procedure codes 0254T; 0016U; 0017U; 0019U; 0022U; 0023U; 0026U; 0027U; 0029U; 0030U; 0031U; 0032U; 0033U; 0034U; 0036U; 0053U; 0055U; 0056U; 0057U; 0069U; 0085U; and
- Added procedure codes 0421T; 0563T; 0567T; 0568T; 0569T; 0570T; 0571T; 0581T; 0582T; and
- Removed procedure codes 33274; 33275; and
- Added procedure codes 0014M; 0163U; 0165U; 0166U; 0167U; 0168U; 0169U; 0170U; 0171U.
Internal Medical Policy Committee 7-22-2020 Coding update
- Removed procedure code 64624; and
- Added procedure Codes: 0174U; 0176U; 0178U; 0379T; 0596T; 0597T; 0598T; 0599T; 0600T; 0601T; 0602T; 0603T; 0604T; 0605T; 0606T; 0607T; 0608T; 0609T; 0610T; 0611T; 0612T; 0613T; 0615T; 0616T; 0617T; 0618T; 0619T; and
- Removed procedure codes: 0594T; 0124U; 0125U; 0126U; 0127U; 0128U; and
- Added Outpatient HCPCS (C codes) C1748; C9759; C9760; C9762; C9763; C9764; C9765; C9766; C9767.
Internal Medical Policy Committee 9-21-2020 Coding update:
- Added Procedure codes: 0015M; K1006; K1009; K1010; K1011; and K1012
- Added Outpatient HCPCS (C code) C9468; and
- Removed procedure codes 0213T; 0214T; 0215T; 0216T;0217T; 0218T; 0594T; 0002U; 0012U; 0016U; 0017U; 0019U; 0021U; 0022U; 0023U; 0029U; 0030U; 0031U; 0032U; 0034U; 0035U; 0036U; 0038U; 0039U; 0041U; 0042U; 0043U; 0044U; 0058U; 0059U; 0061U; 0062U; 0063U; 0064U; 0065U; 0066U; 0069U; 0077U; 0080U; 0083U; 0091U; 0092U; 0093U; 0095U; 0105U; 0106U; 0107U; 0108U; 0110U; 0121U; 0122U; 0123U; 0139U; 0143U; 0144U; 0145U; 0146U; 0147U; 0148U; 0149U; 0150U; 0163U; 0164U; 0165U; 0166U; 0167U
Internal Medical Policy Committee 11-19-2020 Coding update:
- Removed Procedure codes: 31647; 31648; 31649; 31651; 0424T; 0425T; 0426T; 0427T; 0428T; 0429T; 0430T; 0431T; 0432T; 0433T; 0434T; 0435T; 0436T and C1982
Internal Medical Policy Committee 1-19-2021 Coding update: Effective January 01, 2021
- Added Procedure codes: 0620T, 0621T, 0622T, 0623T, 0624T, 0625T, 0626T, 0627T, 0628T, 0629T, 0630T, 0631T, 0632T, 0633T, 0634T, 0635T, 0636T, 0637T, 0638T, 0639T, 30468, 57465, 92229
- Removed Procedure codes: 0111T, 0126T, 0381T, 0382T, 0383T, 0384T, 0385T, 0386T, 0396T, 0400T, 0401T, 0405T, C1982
- Outpatient HCPCS (Codes)
- Added: C1825, C9771, C9772, C9773, C9774, C9775
Internal Medical Policy Committee 3-17-2021 Coding Update: Effective April 01, 2021
- Added Procedure codes: 0243U, 0247U, K1016, K1017, K1018 and K1019;
- Removed Procedure codes: K1010, K1011 and K1012
Internal Medical Policy Committee 5-20-2021 Revision
- Added statement "if 22899 is billed with description of intracept procedure this would be E/I"; and
- Added procedure code 22899; and
- Added Outpatient HCPCS (C Code) C9752
Internal Medical Policy Committee 7-22-2021 Coding Update:
- Added Procedure Codes: 0640T, 0641T, 0642T, 0643T, 0644T, 0645T, 0646T, 0648T, 0649T, 0652T, 0653T, 0654T, 0655T, 0656T, 0657T, 0658T, 0659T, 0660T, 0661T, 0662T, 0663T, 0248U, 0249U.
Internal Medical Policy Committee 9-21-2021 Coding update
- Added Procedure codes: C9779, C9780 and K1023
- Removed Procedure Code: C9076
Internal Medical Policy Committee 11-23-2021 Coding update-Effective January 01, 2022
- Added procedure codes: 0207T, 0213T, 0214T, 0215T, 0216T, 0217T, 0218T, 0697T, 0698T, 33267, 33268, 33269, 42975, 53451, 53452, 53453, 53454, 68841
- Added HCPCS (C code) C1832
- Removed Procedure codes: 0508T, 0554T, 0555T, 0556T, 0557T, 0558T
Internal Medical Policy Committee 1-20-2022 Coding update - Effective March 7, 2022
- Removed Procedure codes: 32994, 42975, and 0581T
Internal Medical Policy Committee 3-23-2022 Coding update - Effective April 01, 2022
- Added Procedure codes: C9782, C9783 and K1030
- Removed Procedure codes: 0412T, 0443T, 0582T, 0619T, 0655T, 92229,C2596,Q2055 and S8040
Internal Medical Policy Committee 5-24-2022 Coding update - Effective July 04, 2022
- Added several procedure codes-too many to list individually.
- Removed Procedure codes: J9021, 64454, 64625, 0440T, 0441T, 0442T
Internal Medical Policy Committee 7-21-2022 Coding update - Various Effective Dates
- Removed Procedure code 68841 - Effective May 01, 2022
- Added Procedure codes: 0717T, 0718T, 0719T, 0721T, 0722T, 0723T, 0724T, 0725T, 0726T, 0727T, 0728T, 0729T, 0730T, 0731T, 0732T, 0733T, 0734T, 0736T, 0737T, 0324U, 0325U, and 75571 - Effective July 01, 2022
- Removed Procedure code 64454; 64625; 90587; J9021 - Effective July 01, 2022
- Removed Procedure code E1629 - Effective September 05, 2022
Internal Medical Policy Committee 9-28-2022 - Effective October 01, 2022
- Removed Procedure code J1952; 61736; 61737; 77089; 77090; 77091 & 77092
Internal Medical Policy Committee 11-29-2022 - Effective January 01, 2023
- Removed procedure codes 0278T; K1016; K1017; K1018; K1019; and
- Added procedure codes Q0240; Q0243; Q0244; Q0245; Q0247; M0240; M0243; M0244; M0245 and M0247
- Removed procedure codes 0475T; 0476T; 0477T; 0478T; 0487T; 0491T; 0492T; 0493T; 0499T; and
- Added procedure codes 30469; 36836; 36837; 33900; 33901; 33902; 33903; 33904; 69728; 69729; 69730; 95919; 0744T; 0745T; 0746T; 0747T; 0748T; 0765T; 0766T; 0767T; 0768T; 0769T; 0771T; 0772T; 0773T; 0774T; 0776T; 0777T; 0778T; 0779T; 0781T; 0782T; 0783T and C1827.
Internal Medical Policy Committee 1-26-2023 - Effective March 06, 2023
- Removed procedure codes 0408T; 0409T; 0410T; 0411T; 0413T; 0414T; 0417T; 0418T - these code are now in policy S-278 Cardiac Contractility Modulation Therapy; and
- Removed procedure codes 0415T; 0416T and C1824; and
- Removed 0656T and 0657T - these codes are now in policy S-279 Vertebral Body Tethering; and
- Added: 0001A, 0002A, 0003A, 0004A, 0011A, 0012A, 0013A, 0051A, 0052A, 0053A, 0054A, 0064A, 0071A, 0072A, 0073A, 0074A, 0081A, 0082A, 0083A, 0091A, 0092A, 0093A, 0094A, 0111A, 0112A, 0113A, 0173A, E1905, 90666, 90667, 90668, 91300, 91301, 91305, 91306, 91307, 91308, 91309, 91311, Q0220, Q0221, Q0222, Q0243, Q0244, Q0245, Q00247; and
- Removed: 0470T, 0471T
Internal Medical Policy Committee 5-23-2023 - Effective July 03, 2023
- Removed: procedure codes 0173A, 0707T, K1001
- Added procedure codes 0014M, 64913
Internal Medical Policy Committee 7-26-2023-Effective July 01, 2023
- Removed procedure codes 0207T, 0330T, 0507T, 0563T - these codes are now in policy Z-107 Intense Pulsed Light Therapy for the Treatment of Dry Eye Disease; and
- Removed procedure codes 69716, 69719, 69726, 69727, 69728, 69729, 69730; and
- Added procedure codes 0807T, 0808T.
Internal Medical Policy Committee 11-15-2023 - Coding update
- Added procedure codes A9268, A9269, C9790 and C9788 -Effective October 01, 2023
- Added procedure codes A9291 and A9292 - Effective January 01, 2024
Internal Medical Policy Committee 1-16-2024 Coding update - Effective January 01, 2024
- Removed procedure codes 0499T, 0465T, 0533T, 0534T, 0535T, 0536T, 0641T, 0642T, 0768T, 0769T, C9771, and C9788; and
- Added procedure codes 0784T, 0785T, 0811T, 0812T, 0815T, 0820T, 0821T, 0822T, 0858T, 0865T, 0866T, 31242, 31243, 52284, 67516, 92972, 97037, C1601, C1602, C9793, E2001, E3000; and
- Added section for Medicaid Expansion procedure code 0017M and 0018U.
- Removed procedure codes 0015M, 0174U, 0176U, 0178U and 90759 - Effective January 15, 2024
- Removed procedure codes 0001A; 0002A; 0003A; 0004A; 0011A; 0012A; 0013A;0051A; 0052A; 0052A; 0053A; 0054A; 0064A; 0071A; 0072A; 0073A, 0074A; 0081A; 0082A; 0083A; 0091A; 0092A; 0093A; 0094A; 0014M; 0111A; 0112A; 0113A; 0173A; 0497T; 0498T; 0324U; 0325U; 77091; 77092; 91300; 91301; 91305; 91306; 91307; 91308; 91309; 91311; C9752; E1905;K1006; and K1009.
- Added procedure codes 0524T; 36473; and 36474 - Effective March 04, 2024
Internal Medical Policy Committee 3-19-2024 Revision with Coding update- Effective May 06, 2024
- Removed procedure codes 36836; 67516; 90689; and S2348.
- Effective April 01, 2024 - new codes
- Added procedure codes 0443U; 0445U; A4593; A4594; A9293 G0138; and K1037.
