Payment Integrity Policies
- Coding Policies
PI Coding Policy Diagnosis Code
PI Coding Policy ICD-10 Specificity
PI Coding Policy Lab Codes with Modifiers 59 and 91
PI Coding Policy Packaged and conditionally packaged lab services
PI Coding Policy Therapy Modifier
PI Coding Policy NCCI PTP with Modifiers
PI Coding Policy Ambulance Modifier
PI Coding Policy Medically Unlikely Edits
PI Coding Policy Decision for Surgery
PI Coding Policy Image Guided Radiation Therapy
PI Coding Policy Non-Invasive Prenatal Testing
- Payment Policies
PI Payment Policy 38 Critical Care Codes when Discharging Home
PI Payment Policy Hospital Routine Supplies Services ReimbursementPI Payment Policy 35 Breast Cancer Genetic Testing Tier 1 vs Tier 2
PI Payment Policy 47 Psychotherapy Add-On with High Level EM
PI Payment Policy 36 Hydrolyzed Enteral Formula Diagnosis
PI Payment Policy 42 Corrected Claim Reimbursement Policy
PI Payment Policy 45 Duplicate claim reimbursement policy