Provider Update – Special Edition January 2020
Posted on January 5, 2021
Medical Policy Updates (New Category 1 Codes added)
Health New England’s Clinical Policies have been updated. While the criteria has not changed, the policies now include the most up-to-date coding information. These policies can be found at healthnewengland.org/providers/resources. Once on the Resources page, click on Behavioral Health/Medical Policies to learn of the changes.
The following policies were updated effective 1/1/2021
• Reconstructive Breast Surgery Following Mastectomy or Breast Conserving Surgery Policy
o Added new Category I coding description
o Deleted CPT 19366
• Long Term 30 day Cardiac Monitoring now called Ambulatory Electrocardiography
o Added new Category I CPT codes
• Balloon Sinus Dilation of the Eustachian Tubes
o Added new Category I CPT codes
