Posted in MVP (NY/VT) Insurance Payer, NY Providers, Payer Updates, Payers and CPT reinbursement, Training

MVP Insurance Payer update: change to Trabecular Bone Scans Reimbursement.

Effective September 1st 2023, MVP will NO longer reimburse separately for Trabecular Bone Scans when done during the Bone density studies.

These scans will he considered incidental to the bone density studies.

CPT codes for Trabecular Bone Studies: 77089,77090,77091, and 77092.

DXA or bone density scan CPT codes that apply to this policy (using central and peripheral dual-enery X-ray are: 77080,77081, and 77085.

This updated reimbursement policy applies to all MVP LOBs- commercial, Managed medicaid and Medicare Advantage Plans.

Find this type of updates useful? Follow my blog for more medical billing and coding guidelines and reimbursement updates.

Posted in Training, Updates

UHC Radiology Code List Expanded for 2021

According UHC October Provider Updates- there are several new codes that are being added to the Radiology Prior Authorization List. This list applies to ALL plan types: Medicare Advantage, Community, and Commercial.

The change will go into an effect for Dates of Service on 01/01/2021 and thereafter.

Below is the list of new added codes: