Humana Policy and Claims Payment System Updates

September 2018 ~

Humana has posted a number of policy and claims payment system updates that will become effective in next month.

The following policies will become effective as of October 4, 2018.

Anesthesia

  • Topic: Anesthesia for colorectal cancer screening
    • Update: Read More
  • Topic: Injection, anesthetic agent, other peripheral nerve or branch
    • Update: Read More

Cardiology

  • Topic: External counterpulsation (ECP) therapy
    • Update: Read More

CPT – Lab / Pathology

  • Topic: Screening for human papilloma virus (HPV) infection combined with cytology
    • Update: Read More
  • Topic: Genital herpes simplex testing
    • Update: Read More
  • Topic: Vitamin D testing
    • Update: Read More
  • Topic: In vitro chemosensitivity and chemoresistance assays
    • Update: Read More

HCPCS

  • Topic: Standing frames
    • Update: Read More
  • Topic: Contact lens, scleral
    • Update: Read More

HCPCS – DMEPOS

  • Topic: Walker
    • Update: Read More
  • Topic: Obstructive sleep apnea
    • Update: Read More
  • Topic: Commode chair with integrated seat lift mechanism, nonelectric, any type.
    • Update: Read More

HCPCS – Drugs & Biologicals

  • Topic: Eribulin mesylate
    • Update: Read More
  • Topic: C-1 esterase inhibitor, brand name Cinryze – J0598
    • Update: Read More
  • Topic: HCPCS code Q0138, injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)
    • Update: Read More
  • Topic: Iron sucrose with a diagnosis of cancer-induced anemia or chemotherapy-induced anemia
    • Update: Read More
  • Topic: Irinotecan liposome
    • Update: Read More
  • Topic: Tocilizumab
    • Update: Read More
  • Topic: CPT code 26341, manipulation, palmar fascial cord (i.e., Dupuytren’s cord), post enzyme injection (eg, collagenase), single cord
    • Update: Read More
  • Topic: Administration of hydroxyprogesterone caproate
    • Update: Read More
  • Topic: Ofatumumab
    • Update: Read More
  • Topic: Ofatumumab
    • Update: Read More
  • Topic: Pegaptanib
    • Update: Read More
  • Topic: Tocilizumab
    • Update: Read More
  •  Topic: Tocilizumab
    • Update: Read More
  •  Topic: Brentuximab vedotin
    • Update: Read More
  • Topic: Pasireotide
    • Update: Read More
  • Topic: Injection, octreotide, depot form for intramuscular injection, 1 mg
    • Update: Read More
  •  Topic: Hyaluronan or derivative for intra-articular injection
    • Update: Read More

Incidental

  • Topic: X-ray equipment transport bundled to the facility admission
    • Update: Read More

Modifiers

  • Topic: ESRD facility-hemoglobin modifiers
    • Update: Read More

Place of Service

  • Topic: Polysomnography and sleep studies
    • Update: Read More

Surgery

  • Topic: Global obstetrical services delivery of multiple gestations
    • Update: Read More

Units

  • Topic: Once-in-a-lifetime bilateral services
    • Update: Read More

 

CPT® is a registered trademark of the American Medical Association.

 

 

Source(s): Humana’s YourPractice Newsletter August 2018;

 

 

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