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;
