Type:
Priority:
Resolution:
Unresolved
Affects Version/s:
None
Fix Version/s:
None
Does this request require an emergency PCC meeting?:
Routine (will be reviewed at next scheduled PCC meeting)
Communication Project:
Hide
Hi Christine!
The attached payment policies were approved by BEEPP on 11/30/21. Can you please have these posted to the website? Please see bullet breakout below.
Retire the Temporary COVID-19 Telemedicine/Telephone -Only, Temporary COVID-19 Telemedicine/Telephone-only Preventive Medicine Service, Temporary COVID-19 Triage Services Provided by Telephone, and the COVID-19 Vaccine Payment Policies for 1/1/22.
Archive existing Telemedicine Payment Policy and replace with updated version attached.
Archive existing Mammography Screening Payment Policy and replace with updated version attached.
Archive existing In Lieu Of Payment Policy and replace with updated version attached.
Archive existing Complementary and Alternative Medicine (CAM) Payment Policy and replace with updated version attached.
Add Chiropractic Services Payment Policy - This is a newly created policy for our Commercial LOB.
Archive existing Immunization and Vaccine Payment Policy and replace with updated version attached
Archive existing Children's Care Services Payment Policy and replace with updated version attached - this policy was updated to add temporary pediatric COVID vaccine counseling language.
Of these policies, we will need Provider Communication on the following:
Telemedicine Payment Policy - Does not need 60 day notice. Merging over all temporary telemedine/COVID payment policies.
Immunization and Vaccine Payment Policy - Does not need 60 day notice. Need to call out that they can’t bill the state for INTEGRITY members for COVID – CMS guidance have to have it in effect for 1/1/22.
In Lieu Of, CAM, Chiro - Does not need 60 day notice. We are not restricting services. We updated these policies to include physiotherapy language/coding.
Show
Hi Christine!
The attached payment policies were approved by BEEPP on 11/30/21. Can you please have these posted to the website? Please see bullet breakout below.
Retire the Temporary COVID-19 Telemedicine/Telephone -Only, Temporary COVID-19 Telemedicine/Telephone-only Preventive Medicine Service, Temporary COVID-19 Triage Services Provided by Telephone, and the COVID-19 Vaccine Payment Policies for 1/1/22.
Archive existing Telemedicine Payment Policy and replace with updated version attached.
Archive existing Mammography Screening Payment Policy and replace with updated version attached.
Archive existing In Lieu Of Payment Policy and replace with updated version attached.
Archive existing Complementary and Alternative Medicine (CAM) Payment Policy and replace with updated version attached.
Add Chiropractic Services Payment Policy - This is a newly created policy for our Commercial LOB.
Archive existing Immunization and Vaccine Payment Policy and replace with updated version attached
Archive existing Children's Care Services Payment Policy and replace with updated version attached - this policy was updated to add temporary pediatric COVID vaccine counseling language.
Of these policies, we will need Provider Communication on the following:
Telemedicine Payment Policy - Does not need 60 day notice. Merging over all temporary telemedine/COVID payment policies.
Immunization and Vaccine Payment Policy - Does not need 60 day notice. Need to call out that they can’t bill the state for INTEGRITY members for COVID – CMS guidance have to have it in effect for 1/1/22.
In Lieu Of, CAM, Chiro - Does not need 60 day notice. We are not restricting services. We updated these policies to include physiotherapy language/coding.
Impacted Line of Business:
Does the change require a configuration request?:
Does the change require an amendment to an existing provider contract?:
Does this require a new or updated Payment Policy or Billing Guideline?:
Does this require an update to the Authorization Guide?:
No
Does this require an update to an existing form (Prior Auth form, provider form, etc.)?:
Does this require a new or updated Clinical Medical Policy?:
No
Does this require an update to the Provider Manual?:
No
Does this require an update to the website, nhpri.org?:
Yes
Drop files to attach them to the issue
»
{"report":{"apdex":0.5,"firstPaint":1200,"isInitial":true,"journeyId":"35e962a8-fbed-4174-86dc-cd08c0aefa69","key":"jira.project.issue.view-issue","navigationType":0,"readyForUser":1370.300000000745,"redirectCount":0,"resourceLoadedEnd":1196.9000000003725,"resourceLoadedStart":110.40000000037253,"resourceTiming":[{"duration":6.400000000372529,"initiatorType":"link","name":"https://jira/s/e1070bb381457cd1cbd8ca115634870a-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/ff66e21df187c9e73317b5450511c15c/_/download/contextbatch/css/_super/batch.css","startTime":110.40000000037253,"connectEnd":110.40000000037253,"connectStart":110.40000000037253,"domainLookupEnd":110.40000000037253,"domainLookupStart":110.40000000037253,"fetchStart":110.40000000037253,"redirectEnd":0,"redirectStart":0,"requestStart":111.20000000111759,"responseEnd":116.80000000074506,"responseStart":112.20000000111759,"secureConnectionStart":110.40000000037253},{"duration":11,"initiatorType":"link","name":"https://jira/s/af5821f404165236b6aa417b05111211-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/f58a4454bcf7d38bd9181e75cc580aeb/_/download/contextbatch/css/project.issue.navigator,jira.view.issue,jira.global,atl.general,jira.general,-_super/batch.css?agile_global_admin_condition=true&jag=true&jaguser=true&jira.create.linked.issue=true&richediton=true&user-logged-in=true","startTime":110.70000000111759,"connectEnd":110.70000000111759,"connectStart":110.70000000111759,"domainLookupEnd":110.70000000111759,"domainLookupStart":110.70000000111759,"fetchStart":110.70000000111759,"redirectEnd":0,"redirectStart":0,"requestStart":111.60000000149012,"responseEnd":121.70000000111759,"responseStart":112.80000000074506,"secureConnectionStart":110.70000000111759},{"duration":6.200000001117587,"initiatorType":"link","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.9.11/_/download/resources/com.lucidchart.jira.plugins.lucid-jira:lucid-viewer-general/viewer.css?batch=false","startTime":110.90000000037253,"connectEnd":110.90000000037253,"connectStart":110.90000000037253,"domainLookupEnd":110.90000000037253,"domainLookupStart":110.90000000037253,"fetchStart":110.90000000037253,"redirectEnd":0,"redirectStart":0,"requestStart":111.80000000074506,"responseEnd":117.10000000149012,"responseStart":114.60000000149012,"secureConnectionStart":110.90000000037253},{"duration":0,"initiatorType":"script","name":"https://jira/s/eae5abd3714f9ef4b6928e31c63d1d3d-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/ff66e21df187c9e73317b5450511c15c/_/download/contextbatch/js/_super/batch.js?locale=en-US","startTime":111.10000000149012,"connectEnd":111.10000000149012,"connectStart":111.10000000149012,"domainLookupEnd":111.10000000149012,"domainLookupStart":111.10000000149012,"fetchStart":111.10000000149012,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":111.10000000149012,"responseStart":0,"secureConnectionStart":111.10000000149012},{"duration":251.40000000037253,"initiatorType":"script","name":"https://jira/s/5f302680f3457ff0f0bd4c2141b48f41-T/whh3ru/806001/8612d8ba835063e571737beef2068f9b/f58a4454bcf7d38bd9181e75cc580aeb/_/download/contextbatch/js/project.issue.navigator,jira.view.issue,jira.global,atl.general,jira.general,-_super/batch.js?agile_global_admin_condition=true&jag=true&jaguser=true&jira.create.linked.issue=true&locale=en-US&richediton=true&user-logged-in=true","startTime":111.20000000111759,"connectEnd":111.20000000111759,"connectStart":111.20000000111759,"domainLookupEnd":111.20000000111759,"domainLookupStart":111.20000000111759,"fetchStart":111.20000000111759,"redirectEnd":0,"redirectStart":0,"requestStart":112.10000000149012,"responseEnd":362.6000000014901,"responseStart":126.10000000149012,"secureConnectionStart":111.20000000111759},{"duration":0,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.9.11/_/download/resources/com.lucidchart.jira.plugins.lucid-jira:lucid-viewer-general/viewer.js?batch=false","startTime":111.60000000149012,"connectEnd":111.60000000149012,"connectStart":111.60000000149012,"domainLookupEnd":111.60000000149012,"domainLookupStart":111.60000000149012,"fetchStart":111.60000000149012,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":111.60000000149012,"responseStart":0,"secureConnectionStart":111.60000000149012},{"duration":0,"initiatorType":"script","name":"https://jira/s/f4e6d7d152f735351c70cffc28260ed0-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1fa8cac12744016a362f6fe681f762d0/_/download/contextbatch/js/atl.global,-_super/batch.js?locale=en-US","startTime":111.80000000074506,"connectEnd":111.80000000074506,"connectStart":111.80000000074506,"domainLookupEnd":111.80000000074506,"domainLookupStart":111.80000000074506,"fetchStart":111.80000000074506,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":111.80000000074506,"responseStart":0,"secureConnectionStart":111.80000000074506},{"duration":0,"initiatorType":"script","name":"https://jira/s/59b65ef76653bc6002aa4d819fcbdc03-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/3.0.3/_/download/batch/com.atlassian.jira.jira-tzdetect-plugin:tzdetect-banner-component/com.atlassian.jira.jira-tzdetect-plugin:tzdetect-banner-component.js?locale=en-US","startTime":111.90000000037253,"connectEnd":111.90000000037253,"connectStart":111.90000000037253,"domainLookupEnd":111.90000000037253,"domainLookupStart":111.90000000037253,"fetchStart":111.90000000037253,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":111.90000000037253,"responseStart":0,"secureConnectionStart":111.90000000037253},{"duration":0,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/3.0.3/_/download/batch/com.atlassian.jira.jira-tzdetect-plugin:tzdetect-lib/com.atlassian.jira.jira-tzdetect-plugin:tzdetect-lib.js","startTime":112.10000000149012,"connectEnd":112.10000000149012,"connectStart":112.10000000149012,"domainLookupEnd":112.10000000149012,"domainLookupStart":112.10000000149012,"fetchStart":112.10000000149012,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":112.10000000149012,"responseStart":0,"secureConnectionStart":112.10000000149012},{"duration":0,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.0/_/download/batch/jira.webresources:calendar-en/jira.webresources:calendar-en.js","startTime":112.30000000074506,"connectEnd":112.30000000074506,"connectStart":112.30000000074506,"domainLookupEnd":112.30000000074506,"domainLookupStart":112.30000000074506,"fetchStart":112.30000000074506,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":112.30000000074506,"responseStart":0,"secureConnectionStart":112.30000000074506},{"duration":0,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.0/_/download/batch/jira.webresources:calendar-localisation-moment/jira.webresources:calendar-localisation-moment.js","startTime":112.5,"connectEnd":112.5,"connectStart":112.5,"domainLookupEnd":112.5,"domainLookupStart":112.5,"fetchStart":112.5,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":112.5,"responseStart":0,"secureConnectionStart":112.5},{"duration":5.799999998882413,"initiatorType":"link","name":"https://jira/s/a5a41229bc9d08fe7a942b58b519e85e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/3e41f9f5bb164ee0605b9440709940d9/_/download/contextbatch/css/jira.global.look-and-feel,-_super/batch.css","startTime":112.60000000149012,"connectEnd":112.60000000149012,"connectStart":112.60000000149012,"domainLookupEnd":112.60000000149012,"domainLookupStart":112.60000000149012,"fetchStart":112.60000000149012,"redirectEnd":0,"redirectStart":0,"requestStart":113.40000000037253,"responseEnd":118.40000000037253,"responseStart":117.40000000037253,"secureConnectionStart":112.60000000149012},{"duration":13.699999999254942,"initiatorType":"script","name":"https://jira/rest/api/1.0/shortcuts/806001/ad8447616829a3019151534ed5dddb64/shortcuts.js?context=issuenavigation&context=issueaction","startTime":112.80000000074506,"connectEnd":112.80000000074506,"connectStart":112.80000000074506,"domainLookupEnd":112.80000000074506,"domainLookupStart":112.80000000074506,"fetchStart":112.80000000074506,"redirectEnd":0,"redirectStart":0,"requestStart":114.5,"responseEnd":126.5,"responseStart":126,"secureConnectionStart":112.80000000074506},{"duration":3.900000000372529,"initiatorType":"link","name":"https://jira/s/d4e45972df465469c3cdf239a77fab6f-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/9499bde5bca904f37aa9780697056328/_/download/contextbatch/css/com.atlassian.jira.projects.sidebar.init,-_super,-jira.view.issue,-project.issue.navigator/batch.css?jira.create.linked.issue=true&richediton=true&user-logged-in=true","startTime":248.2000000011176,"connectEnd":248.2000000011176,"connectStart":248.2000000011176,"domainLookupEnd":248.2000000011176,"domainLookupStart":248.2000000011176,"fetchStart":248.2000000011176,"redirectEnd":0,"redirectStart":0,"requestStart":249.40000000037253,"responseEnd":252.10000000149012,"responseStart":251.60000000149012,"secureConnectionStart":248.2000000011176},{"duration":4.700000001117587,"initiatorType":"script","name":"https://jira/s/c27c2a1721ebae9cefc7b5d15c394e33-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/9499bde5bca904f37aa9780697056328/_/download/contextbatch/js/com.atlassian.jira.projects.sidebar.init,-_super,-jira.view.issue,-project.issue.navigator/batch.js?jira.create.linked.issue=true&locale=en-US&richediton=true&user-logged-in=true","startTime":248.5,"connectEnd":248.5,"connectStart":248.5,"domainLookupEnd":248.5,"domainLookupStart":248.5,"fetchStart":248.5,"redirectEnd":0,"redirectStart":0,"requestStart":250.5,"responseEnd":253.2000000011176,"responseStart":252.30000000074506,"secureConnectionStart":248.5},{"duration":22.300000000745058,"initiatorType":"xmlhttprequest","name":"https://jira/rest/webResources/1.0/resources","startTime":255.90000000037253,"connectEnd":255.90000000037253,"connectStart":255.90000000037253,"domainLookupEnd":255.90000000037253,"domainLookupStart":255.90000000037253,"fetchStart":255.90000000037253,"redirectEnd":0,"redirectStart":0,"requestStart":256.6000000014901,"responseEnd":278.2000000011176,"responseStart":277.80000000074506,"secureConnectionStart":255.90000000037253},{"duration":0,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.0/_/download/batch/jira.webresources:bigpipe-js/jira.webresources:bigpipe-js.js","startTime":258.6000000014901,"connectEnd":258.6000000014901,"connectStart":258.6000000014901,"domainLookupEnd":258.6000000014901,"domainLookupStart":258.6000000014901,"fetchStart":258.6000000014901,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":258.6000000014901,"responseStart":0,"secureConnectionStart":258.6000000014901},{"duration":0,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.0/_/download/batch/jira.webresources:bigpipe-init/jira.webresources:bigpipe-init.js","startTime":293.80000000074506,"connectEnd":293.80000000074506,"connectStart":293.80000000074506,"domainLookupEnd":293.80000000074506,"domainLookupStart":293.80000000074506,"fetchStart":293.80000000074506,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":293.80000000074506,"responseStart":0,"secureConnectionStart":293.80000000074506},{"duration":53.899999998509884,"initiatorType":"xmlhttprequest","name":"https://jira/rest/webResources/1.0/resources","startTime":571.6000000014901,"connectEnd":571.6000000014901,"connectStart":571.6000000014901,"domainLookupEnd":571.6000000014901,"domainLookupStart":571.6000000014901,"fetchStart":571.6000000014901,"redirectEnd":0,"redirectStart":0,"requestStart":572.4000000003725,"responseEnd":625.5,"responseStart":625.1000000014901,"secureConnectionStart":571.6000000014901},{"duration":0,"initiatorType":"css","name":"https://jira/s/whh3ru/806001/8612d8ba835063e571737beef2068f9b/8.5.0/_/download/resources/com.atlassian.auiplugin:split_aui.splitchunk.56dfb54d0c/assets/atlassian-icons.woff","startTime":643,"connectEnd":643,"connectStart":643,"domainLookupEnd":643,"domainLookupStart":643,"fetchStart":643,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":643,"responseStart":0,"secureConnectionStart":643},{"duration":0,"initiatorType":"css","name":"https://jira/s/whh3ru/806001/8612d8ba835063e571737beef2068f9b/8.5.0/_/download/resources/com.atlassian.auiplugin:split_aui.splitchunk.56dfb54d0c/assets/adgs-icons.woff","startTime":643.1000000014901,"connectEnd":643.1000000014901,"connectStart":643.1000000014901,"domainLookupEnd":643.1000000014901,"domainLookupStart":643.1000000014901,"fetchStart":643.1000000014901,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":643.1000000014901,"responseStart":0,"secureConnectionStart":643.1000000014901},{"duration":26.40000000037253,"initiatorType":"script","name":"https://jira/s/d41d8cd98f00b204e9800998ecf8427e-CDN/whh3ru/806001/8612d8ba835063e571737beef2068f9b/be9ff0efea54a6453d2ac60b92912a09/_/download/contextbatch/js/browser-metrics-plugin.contrib,-_super,-project.issue.navigator,-jira.view.issue,-atl.general/batch.js?agile_global_admin_condition=true&jag=true&jaguser=true&jira.create.linked.issue=true&richediton=true&user-logged-in=true","startTime":1170.5,"connectEnd":1170.5,"connectStart":1170.5,"domainLookupEnd":1170.5,"domainLookupStart":1170.5,"fetchStart":1170.5,"redirectEnd":0,"redirectStart":0,"requestStart":1195.9000000003725,"responseEnd":1196.9000000003725,"responseStart":1196.4000000003725,"secureConnectionStart":1170.5},{"duration":1.400000000372529,"initiatorType":"css","name":"https://jira/s/whh3ru/806001/8612d8ba835063e571737beef2068f9b/1.0/_/images/icons/sprites/icons_module.png","startTime":1258.300000000745,"connectEnd":1258.300000000745,"connectStart":1258.300000000745,"domainLookupEnd":1258.300000000745,"domainLookupStart":1258.300000000745,"fetchStart":1258.300000000745,"redirectEnd":0,"redirectStart":0,"requestStart":1258.9000000003725,"responseEnd":1259.7000000011176,"responseStart":1259.4000000003725,"secureConnectionStart":1258.300000000745},{"duration":0,"initiatorType":"css","name":"https://jira/s/whh3ru/806001/8612d8ba835063e571737beef2068f9b/8.5.0/_/download/resources/com.atlassian.auiplugin:split_aui.splitchunk.vendors--7da3927366/assets/atlassian-horizontal-neutral.svg","startTime":1329.9000000003725,"connectEnd":1329.9000000003725,"connectStart":1329.9000000003725,"domainLookupEnd":1329.9000000003725,"domainLookupStart":1329.9000000003725,"fetchStart":1329.9000000003725,"redirectEnd":0,"redirectStart":0,"requestStart":0,"responseEnd":1329.9000000003725,"responseStart":0,"secureConnectionStart":1329.9000000003725}],"threshold":1000,"unloadEventStart":98,"unloadEventEnd":98,"fetchStart":2,"domainLookupStart":4,"domainLookupEnd":4,"connectStart":4,"connectEnd":37,"secureConnectionStart":17,"requestStart":37,"responseStart":84,"responseEnd":293,"domLoading":101,"domInteractive":1422,"domContentLoadedEventStart":1423,"domContentLoadedEventEnd":1513,"domComplete":1758,"loadEventStart":1758,"loadEventEnd":1763,"userAgent":"Mozilla/5.0 (Windows NT 10.0; Win64; x64) AppleWebKit/537.36 (KHTML, like Gecko) Chrome/96.0.4664.93 Safari/537.36","marks":[],"measures":[],"correlationId":"2e4691204581cd","effectiveType":"4g","downlink":5.85,"rtt":50,"serverDuration":235,"dbReadsTimeInMs":26,"dbConnsTimeInMs":100,"applicationHash":"b7cf80b32883e8ebb99c35d38312f313df91deda","experiments":[]}}
Neighborhood Health Plan of Rhode Island
©
Page
1
of
5
In Lieu of Services Payment Policy
Policy Statement
In Lieu of Services are alternative services, which Neighborhood Health Plan of RI (Neighborhood)
may (but is not required to) provide for members as medically appropriate therapy to be used as
substitutes for other state plan services. The Rhode Island Ex
ecutive Office of Health and Human
Services (EOHHS) has approved the services identified on this document to be utilized in this way.
Scope
This policy applies to:
☒
Medicaid
excluding Extended Family Planning (EFP)
☒
INTEGRITY
☐
Commercial
Prereq
uisites
Neighborhood may cover the services included in this policy when it is determined that the service
in question is effective in the treatment of their pain and improves the member’s quality of health.
Please use the Neighborhood
In Lieu Of Prior Authorization Request Form
to attest for this
request. The requesting provider would at
test to the fact that the service is being used “in lieu of”
the described State Plan Service.
All services must be medically necessary to qualify for reimbursement. Neighborhood may use the
following criteria to determine medical necessity:
National
Coverage Determination (NCD)
Local Coverage Determination (LCD)
Industry accepted criteria such as Interqual
Rhode Island Executive Office of Health and Human Services (EOHHS) recommendations
Clinical Medical Policies (CMP)
It is the provider’s responsib
ility to verify eligibility, coverage and authorization criteria prior to
rendering services.
For more
information,
please refer to:
Neighborhood’s
Guidance S
ummary Grid for In Lieu of Services
Neighborhood’s plan specific
Prior Authorization Reference page.
Neighborhood Health Plan of Rhode Island
©
Page
2
of
5
Neighborhood’s
Clinical Medical Policies
.
Please contact Provider Services at 1
-
800
-
963
-
1001for additional details.
Covered Services
Chiropractic Services
in lieu of
medications or invasive procedures for chronic pain
.
Acupuncture Services
in lieu of
medications or invasive procedures for chronic pain.
Massage Therapy in
lieu of
medications or invasive procedures for chronic pain.
Ben
efit Limitations
Chiropractic services are limited to 12 visits per rolling year
Acupuncture services are limited to 12 visits per rolling year
Massage therapy services are limited to 6 visits per rolling year
Claim Submission
Billable services are subject to contractual agreements, when applicable. Providers are required to
submit complete claims for payment within 90 days of the date services are provided to members.
Coding
Table 1:
Below are the approved codes for licensed Acupuncturists:
CPT Code
Description
97810
Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes
of personal one
-
on
-
one contact with the patient
97811
Acupuncture, 1 or more
needles; without electrical stimulation, each additional
15 minutes of personal one
-
on
-
one contact with the patient, with re
-
insertion of
needle(s) (List separately in addition to code for primary procedure)
97813
Acupuncture, 1 or more needles; with
electrical stimulation, initial 15 minutes of
personal one
-
on
-
one contact with the patient
97814
Acupuncture, 1 or more needles; with electrical stimulation, each additional 15
minutes of personal one
-
on
-
one contact with the patient, with re
-
insertion o
f
needle(s) (List separately in addition to code for primary procedure)
Go to the previous file Go to the next file
Provider Communication
Medium
Hi Sarah Tourgee and Brittany Goulart I see that CHildren's Care Svcs was just updated. I had already publish the new version as part of the other ticket (with Oral Care). Is this a new version?