Billing News Oct 2022



BCBS Kansas - Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy)

  • October 10, 2022

Medical Policy update :Revision 09-27-2022 Updated Description Section Updated Rationale Section Updated Coding Section ▪ Added 0338U (effective 10-01-2022)

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AMA: New 2023 CPT code set includes burden-reducing revisions

  • October 10, 2022

In total, next year’s CPT code set will see 393 editorial changes, including 225 new codes, 75 deletions, and 93 revisions. There will be 10,969 codes that describe the medical procedures and services. The code set will go into effect on Jan. 1, 2023.

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AMA Announces CPT update for COVID-19 boosters adapted to omicron

  • October 10, 2022

The American Medical Association (AMA) today announced an editorial update to Current Procedural Terminology (CPT)®, the nation’s leading medical terminology code set for describing health care procedures and services, that includes eight new codes for the bivalent COVID-19 vaccine booster doses from Moderna and Pfizer-BioNTech. The updated...

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Universal Genetic Testing in Breast Cancer Further Supported in New Invitae-Led Study

  • October 10, 2022

NCCN has since updated its guidelines to additionally recommend genetic testing of patients with triple-negative breast cancer; for PARP inhibitor treatment eligibility in metastatic disease for high-risk patients with ERBB2-negative disease; and if a patient has a greater than 5 percent chance of a BRCA1 or BRCA2 variant based on an assessment...

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Pharmacies urge Biden to keep COVID emergency powers in place

  • October 10, 2022

Pharmacies are lobbying the Biden administration to keep emergency provisions enacted under COVID-19 intact for a while longer. The National Association of Chain Drug Stores (NACDS) wants the White House to keep the Public Readiness and Emergency Preparedness (PREP) Act in place until October 2024. PREP provides liability protection to...

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District Court ruling in Texas calls ACA preventive care requirement ‘unconstitutional’

  • October 10, 2022

In a ruling that threatens some aspects of preventive care coverage under the Affordable Care Act, a District Court judge in Texas struck down a provision requiring insurers to fully cover preventive services with an “A” or “B” rating under current recommendations from the U.S. Preventive Services Task Force (USPSTF). ...

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Experts Sound Alarm on Ruling Threatening Preventive Cancer Care

  • October 10, 2022

More than two dozen patient advocacy organizations have raised alarms about a recent court ruling that could threaten patient access to no-cost preventive screenings, including cancer screenings. In a statement, the groups highlighted that the decision "would result in a return to financial and other barriers proven to discourage Americans...

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FDA wants COVID test developers to shift from EUAs to traditional premarket pathways

  • October 10, 2022

The US Food and Drug Administration (FDA) has released updated guidance on COVID-19 diagnostic and serology testing, signaling its intention to review fewer emergency use authorizations (EUAs) for new tests moving forward.

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