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Reimbursement Policies

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  • A

    • Add-On Codes
    • Allergy Testing .pdf
    • Ambulance Services
    • Ambulatory Surgery Center
    • Anatomical Modifiers
    • Anesthesia
    • Assistant Surgeon
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  • B

    • Bilateral Procedures
    • Bundling (Status B, P, T)
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  • C

    • Cerumen Removal
    • Chiropractic Services
    • Co-Surgeon
    • Colonoscopy .pdf
    • Cost Outlier Payment
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  • D

    • Dermatology
    • Diagnosis Procedure Age Guidelines
    • Diagnosis Procedure Code Gender Guidelines
    • Discarded Drugs and Biologicals
    • Discontinued Procedures
    • Distinct Procedural Service (Modifier 59, X )
    • Duplicate Services
    • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
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  • E

    • Electromyography and Electroencephalogram
    • Electronic Visit Verification
    • Evaluation and Management
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  • F

    • Federally Qualified Health Center
    • Frequency
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  • G

    • Genetic Testing
    • Global Surgical Package and Split Surgery
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  • H

    • Health Care-Acquired Conditions
    • Hearing Aids
    • Hemodialysis.pdf
    • Home Health Services
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  • I

    • Implants, Devices, Skin Substitutes
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  • K

    • KX Modifier
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  • L

    • Laboratory and Pathology
    • Lung Cancer Screening
    • Lung Cancer Screening Reimbursement Policy ID: RPC.0057.72KF
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  • M

    • Maximum Units
    • Medically Unlikely Edit (MUE)
    • Modifier 57-Decision for Surgery .pdf
    • Modifier 78
    • Multiple Procedure Payment Reduction
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  • R

    • Readmissions
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