ProviderMatters

Payment Policy Updates (December 2025)

Posted on December 3, 2025

Health New England is committed to reviewing our internal procedures and defining coverage and billing guidelines with applicable laws and industry standards to ensure our policies are appropriate. To access payment policies, please visit healthnewengland.org/Providers/Resources.

The following policies were reviewed and updated:

Updates  Effective Date Notes
Emergency Department

 

 11/01/2025
  • All LOBs
  • Updated policy
  • Replaced language to provide better clarity around Outpatient procedures
Robotics-Assisted Surgery 12/01/2025
  • Created payment policy to document existing operational practices
Updated – Evaluation & Management 02/01/2026
  • Commercial Line of Business
  • G2211 no longer reimbursed for Commercial
  • Updated language regarding 99451
Computer-Assisted Surgery 02/01/2026

 
  • New Policy
  • All LOBs

 

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Categories: Provider Newsletter

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