Reimbursement Policies & Guidelines Add-on Payment for COVID-19 Diagnostic Testing Run on High Throughput Technology (U0005) Advance Care Planning Allergy Services Ambulance Services Billing Requirements for Clinical Trials Brachytherapy Billing Requirements Breastfeeding Reimbursement COVID 19 Antibody Testing Centering Pregnancy Prenatal Care Chiropractic Manipulation Diagnosis Policy Chronic Care Management Claim Editing Policy DIR Services Daily Maximum Units for Surgical Pathology and Microscopic Examination Diabetic Screening Services Doula Services Early Elective Deliveries Evaluation and Management Services billed with Global Radiology, Stress Test, Stress Echo or Myocardial Profusion Imaging Foot Orthotic Shoes and Inserts Frequency of Ocular Photography Home Health Certification and Re-Certification Laboratory Services Billed by Physicians Maternity Reimbursement Maximum Units Policy on Hearing Aid Batteries Modifier JW – Drug Waste Modifier 22 – Increased Procedural Services Modifier 50 – Bilateral and LT/RT Modifier 52 – Reduced Services Modifier 53 – Discontinued Procedures Modifier 54 – Surgical Care Only Modifier 55 – Postoperative Management Only Modifier 56 – Preoperative Management Only 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 Procedure Reduction Mutually and Non-Mutually Exclusive NCCI Edits Outpatient Services Prior to Admission Preventative Medicine Services with Auditory Screening Preventive Medicine Services PT/OT/ST Services Pulmonary Diagnostic Procedures when billed with Evaluation and Management Codes Readmission Policy Self-Help/Peer Support Billing Guidelines Distinct Procedural Service Modifiers (59, XE, XP, XS, XU) Telemedicine and Telehealth Transitional Care Planning Ulcer Debridement and Ulcer Stages Unlisted Codes Urine Drug Testing