|
|
Guides and Codes
- CPT® Surgery Guidelines Chart
Use this chart to determine the relative value units, if an assistant surgeon is allowed, if the multiple surgery guidelines apply, or if the surgery includes
normal pre- and post-operative care for each surgical CPT code.
The List of Investigative Treatments has been expanded and moved to be included
in the Medical Policy Manual in the Library under Policies and Procedures.
The HME Index
is for Nebraska members only and some policies may have limitations. If an item displays an IC, this means the coverage is dependent on the member's contract
and you will need to call to verify coverage. These items should also be preauthorized.
The Ambulatory Procedure Codes listing has been discontinued. Please continue to
provide surgical services in the most appropriate setting as stipulated in the
Provider Agreement. For the definition of Medically Necessary or Medical
Necessity, refer to the Glossary to the left.
The Medical and Surgical Supplies Codes listing has been removed as these
supplies are denied as content of service when used in the physician's office
should remain without change.
Fee schedules are not published online at this time, please contact your
Health
Network Consultant for more information.
Electronic Remittance Remark Code Lists
|
|