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Payment Integrity Policies

 

  • Coding Policies

    PI Coding Policy General

    PI Coding Policy Diagnosis Code

    PI Coding Policy ICD-10 Specificity

    PI Coding Policy Lab Codes with Modifiers 59 and 91

    PI Coding Policy Modifier 26

    PI Coding Policy Modifier KK

    PI Coding Policy Modifier TC

    PI Coding Policy Packaged and conditionally packaged lab services

    PI Coding Policy Therapy Modifier

    PI Coding Policy NCCI PTP with Modifiers

    PI Code Coding Policy Add-On

    PI Coding Policy Ambulance Modifier

    PI Coding Policy Medically Unlikely Edits

    PI Coding Policy Decision for Surgery

    PI Coding Policy Lab Panel

    PI Coding Policy Image Guided Radiation Therapy

    PI Coding Policy Non-Invasive Prenatal Testing

    PI Coding Policy ICD-10 First Listed Diagnosis

    PI Coding Policy Excludes1 Note

  • Payment Policies

    PI Payment Policy 33 Outpatient Definitive Drug Testing Medicaid Medicare
    PI Payment Policy 33 Outpatient Definitive Drug Testing Marketplace
    PI Payment Policy 1 Hospital Routine Supplies Services Reimbursement

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  • last updated: 07/21/2020

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