New Professional Claim Code Edits Coming June 2013
May 20, 2013The following changes will apply to professional (nonfacility) claims submitted for Humana commercial fully insured and select self-funded* members, as well as Medicare Advantage (MA) Health Maintenance Organization (HMO), Preferred Provider Organization (PPO) and Private Fee-for-Service (PFFS) members, as indicated below:
|
Category |
Topic |
Policy Statement |
|
Lab/Pathology |
Cryopreservation |
According to Humana policy on infertility evaluation and treatment, CPT 89258, 89259 and 89335 are considered noncovered and will not be allowed for separate reimbursement. |
|
Lab/Pathology |
Storage of Embryo |
According to Humana policy on infertility evaluation and treatment, CPT 89342, 89343, 89344 and S4027 are considered noncovered and will not be allowed for separate reimbursement. |
|
Lab/Pathology |
Thawing/ Cryopreservation |
According to Humana policy on infertility evaluation and treatment, CPT 89352, 89353, 89354 and 89356 are considered noncovered and will not be allowed for separate reimbursement. |