Reimbursement Policies & Guidelines Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005) Advance Care Planning Allergy Services Ambulance Services Anesthesia Reimbursement Guidelines Bariatric Surgery Billed With Hiatal Hernia Repair or Gastropexy Billing Requirements for Clinical Trials Brachytherapy Billing Requirements Breast Pump Reimbursement Cardiac Event Detection Care Management Services for Substance Use Disorders Centering Pregnancy Prenatal Care Chiropractic Manipulation Diagnosis Policy Chronic Care Management Claim Editing Policy Consultation Services Payment COVID 19 Antibody Testing Daily Maximum Units for Surgical Pathology and Microscopic Examination Diabetic Screening Services Diabetic Supplies DIR Services Distinct Procedural Service Modifiers (59, XE, XP, XS, XU) Doula Services Early Elective Childbirth Deliveries Endoscopic Retrograde Cholangiopancreatography (ERCP) Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo or Myocardial Profusion Imaging False Claims FIDE-SNP Hospital Sequestration Reimbursement Foot Orthotic Shoes and Inserts Free Flap Breast Reconstruction Frequency of Ocular Photography Home Health Certification and Re-Certification Hospice Room and Board Reimbursement Laboratory Services Billed by Physicians Maternity Reimbursement Maximum Units Policy on Hearing Aid Batteries Medical Nutrition Therapy Modifier JW – Drug Waste Modifier 22 – Increased Procedural Services Modifier 50 – Bilateral and LT/RT Modifier 52 – Reduced Services Modifier 53 – Discontinued Procedures Modifier 57 – Decision for Surgery Modifier 62 – Two Surgeons Modifier 66- Surgical Team Modifier 73 - Discontinued Outpatient Procedure Prior to the Administration of Anesthesia Modifier 76- Repeat Procedure or Service by Same Physician Modifier 77- Repeat Procedure or Service by Another Physician Modifier 78 – Unplanned Return to the OR Modifiers 80, 81, 82 and AS – Assistant Surgeon Multiple Diagnostic Cardiovascular Procedures Multiple Diagnostic Ophthalmology Procedures Multiple Procedure Reduction Mutually and Non-Mutually Exclusive NCCI Edits Ophthalmology Services Outpatient Facility Code Edits: Revenue Codes Outpatient Services Prior to Admission or Same Day Surgery Post Payment Documentation Requests for Facility Claims Pre-Payment Coding Reviews Documentation Requests Pre-Payment Documentation Requests for Facility Claims Preventative Medicine Services with Auditory Screening Preventive Medicine Services PT/OT/ST Services Pulmonary Diagnostic Procedures when billed with Evaluation and Management Codes Reimbursement of S0302 Self-Help/Peer Support Billing Guidelines Smoking Cessation Specimen Collection Travel Allowance Split Surgical Services (Modifiers -54, -55 and -56) Telemedicine and Telehealth Transitional Care Planning Ulcer Debridement and Ulcer Stages Unlisted Codes Urgent Care Center Billing Requirements Urine Drug Testing