Billing Beat

BCBSND- July 2022 Policy Updates

July 8, 2022

The following medical policies had coding changes:

·         Cosmetic and Reconstructive Surgery

o    Added vulvectomy and labiaplasty, codes:  56620, 56625, and 15839

·         Home Pulse Oximetry Device

o    Add diagnosis code Q20.2 to both E0445 and A4606.

·         Vitamin D Assay

o    For 82652

§  Remove N18.3

§  Add N18.30; N18.31 & N18.32

·         Orthopedic Applications of Platelet-Rich Plasma

o    Remove code 86999

·         Fecal Analysis in the Diagnosis of Intestinal Dysbiosis

o    Adding procedure codes to policy

·         Manipulation Under Anesthesia

o    Removing 1 Dx code

·         Electroencephalogram

o    Procedure and dx coding logic updates

·         Autonomic Nervous System Function Testing

o    Added Dx codes

·         Nerve Ablation and Injection

o    Added additional codes from as E/I

·         Tumor Markers (CA-125)

o    Adding and removing Dx codes

·         Photodynamic Therapy (PDT) with Porfimer Sodium

o    Update of diagnosis codes

·         Experimental-Investigational

o    Removing:

§  64454

§  64625

§  0440T, 0441T, and 0442T

§  J9021

·         Pain Management of Peripheral Nerves by Injection

o    Removing code G9770

o    Adding 20552, 20553, 64405

·         Discography

o    Remove 64999

·         Esophageal pH Monitoring

o    Procedure and dx coding logic updates

·         Miscellaneous Services

o    Adding 93998

·         Diagnosis and Treatment of Obstructive Sleep Apnea for Adults

o    Updating Dx codes 

Source: https://www.bcbsnd.com/providers/policies-precertification/coding-and-reimbursement

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