View payment policy updates archive
October 2, 2025
The following policies received their annual review with no changes:
- Inpatient Acute Transfers from DRG Hospitals
- Modifier SL – State Supplied Vaccine
- Multiple Diagnostic Cardiovascular Services Reductions
- Multiple Diagnostic Imaging Reductions
- Screening Services with Evaluation and Management (E&M) Services
- Serious Adverse Events – Inpatient Facility Services
- Urine Drug Testing and Drug Assay Services
The following policies received their annual review with the changes noted below:
Blood Draw/Venipuncture – 36415
- This policy is archived effective October 2, 2025. Please refer to the Medically Unlikely Edits (MUEs)/Maximum Units of Service policy.
Facility Fees: Clinic Services, Professional Fees and Specialty Services – Treatment Room
- From exceptions section, removed Alaska lines of business and COVID statement from 2023.
- From the policy section, removed maternity global chart and added reference to the maternity services policy.
- Added Maternity Services policy to cross reference section.