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Commercial Reimbursement Policy Updates for December 31, 2024

Reimbursement PolicyRevision
National Drug Code (NDC) (PDF)

Update: HCPCS Codes removed from Billing and Coding section.

Opioid Treatment Programs (OTP) (PDF)

Added codes to Billing and Coding section: G0532, G0533, G0536, G0560. Deleted codes: G2070, G2071, G2072. Updated code definitions throughout. No change to policy intent. 

Telehealth (PDF)

Procedure Code updates and revisions.  Added code: 98016.  Deleted codes: 99441, 99442, 99443, G2012.  Code definitions updated. No change to policy intent.