Balloon Sinuplasty
The guidelines formerly displayed under this policy are now included under revised reimbursement policy Distinct Procedural Service Modifiers (59, XE, XP XS XU).
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- HEDIS® Resources
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- Distinct Procedural Service Modifiers (59, XE, XP, XS, XU)
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- Drug Wastage – Modifier JW
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- Maternity Reimbursement
- Maximum Units for Anesthesia
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- Medicare Advantage Hospital Sequestration Reimbursement
- Microsurgery and Robotic Surgery
- Modifier 25
- Modifier 50 Bilateral Guidelines
- Modifier 52
- Modifier 53
- Modifier 54
- Modifier 55
- Modifier 56
- Modifier 57
- Modifier 76
- Modifier 77
- Modifier 78
- Modifier SU
- Modifiers CQ/CO
- Multiple Procedure Reductions
- Mutually and Non-Mutually Exclusive NCCI Supplemental Edits
- Non-ESRD ESA Level Reporting
- Noncovered Related Services
- Outpatient Consultations
- Outpatient Facility Code Edits: Bundling and Revenue Codes Outpatient Facility Code Edits: Bundling and Revenue Codes
- Bundled Services
- Lab codes when billed with other services
- Revenue Codes Requiring HCPCS Codes
- Typically packaged codes
- Outpatient Laboratory Claims: Referring Practitioner Required
- Outpatient Therapy Daily Maximum
- Physician Extenders Non-Surgical Services
- Pre-Admission Testing
- Pre-Payment Documentation Requests: Facility Claims
- Post Payment Documentation Requests: Facility Claims
- Pulmonary Diagnostic Procedures when billed with E&M Codes
- Radiology, Preliminary and Double Reads
- Radiopharmaceuticals
- Reimbursement and Billing Guidelines for Anesthesia Claims
- Removal of Impacted Cerumen Requiring Instrumentation
- Screening and Diagnostic Mammography & 3D Tomosynthesis
- Site of Service Differential
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- Status N Codes
- Telemedicine Services Telemedicine Services
- Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon BCBSNJ Commercial/ASO plans and products
- Telemedicine Services Reimbursement Policy: Temporary Addendum for Horizon Medicare Advantage
- Ulcer Debridement and Ulcer Stages
- Urgent Care Center Billing Requirements
- Urinalysis with Evaluation and Management (E&M) Services
- Urine Drug Screening/Testing
- Vitamin D Testing
- Utilization ManagementUtilization Management
COVID-19
Stay informed.
Get the latest information on COVID-19.
Get the latest information on COVID-19.