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Commercial Reimbursement Policy Updates for February 1, 2025
| Reimbursement Policy | Revision |
|---|---|
| Bundling Guidelines | Added 3D radiology bundling rules for facility and professional services. |
| Facility Billing Guidelines | PTA and OTA Modifier CO and CQ reimbursement reduction added. |
| Pricing and Adjudication Principles | Postpay medical record request technical denial language added. Added coding accuracy in guidelines section. |
Maximum units and frequency language updated throughout policy. | |
| Removal of Impacted Cerumen | Modifier 50 unit quantity updated to “one”. No change to policy intent. |
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