#reimbursement – KR2 Medical Billing

UHC Medicaid: Idaho: diabetic DME coverage change-benefit

Posted on February 18, 2026 by KR2Medical Billing

Starting for DOS 4/1/26 and thereafter the following codes will be covered through the patient pharmacy benefit and no longer will be covered under patient medical benefit.

For DOS 1/1/26 through 3/1/26- providers can still bill either through medical benefit or pharmacy benefit.

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#aetna, #Medicare, #reimbursement, Payer Updates, Payers and CPT reinbursement, Training

Are you leaving revenue on the table?

Posted on February 16, 2026 by KR2Medical Billing

Aetna update!

Is your practice compliant?

Are you appending proper modifiers to radiology, diagnostic services and surgery services- when billed with the following ICD-10 codes: Z53.01, Z53.09, Z53.1, Z53.20, Z53.21, Z53.29, Z53.8, Z53.9?

As per Aetna- if the following modifiers are not billed on the claims for the above services with above named ICD-10 codes- the claims will be denied.

This change will take affect April 1,2026 and apply to commercial and Medicare plans.

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#reimbursement, Education, Training

Current facia plane block codes

Posted on February 15, 2026 by KR2Medical Billing

Is your office compliant- uses the proper codes for facia plane blocks?

Back in 2025 CMS released new and updated facia plane block codes to better represent the work that the anesthesiologists perform to reduce the pain for the patients during procedures (thorasic/lower extremity).

Imaging is included in these codes.

Please note if the EP block is performed in the lumbar region, these codes are not appropriate and the code 64999 should be

used.

Coding:

Make sure your office is compliant and uses the proper codes to capture the procedures.

For more information please visit: ASA website

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