Humana Policy and Claims Payment System Updates

September 2018 ~

Humana has posted a number of policy and claims payment system updates that will become effective in next month.

The following policies will become effective as of October 4, 2018.

Anesthesia

• Topic: Anesthesia for colorectal cancer screening
  • Update: Read More
• Topic: Injection, anesthetic agent, other peripheral nerve or branch
  • Update: Read More

Cardiology

• Topic: External counterpulsation (ECP) therapy
  • Update: Read More

CPT – Lab / Pathology

• Topic: Screening for human papilloma virus (HPV) infection combined with cytology
  • Update: Read More
• Topic: Genital herpes simplex testing
  • Update: Read More
• Topic: Vitamin D testing
  • Update: Read More
• Topic: In vitro chemosensitivity and chemoresistance assays
  • Update: Read More

HCPCS

• Topic: Standing frames
  • Update: Read More
• Topic: Contact lens, scleral
  • Update: Read More

HCPCS – DMEPOS

• Topic: Walker
  • Update: Read More
• Topic: Obstructive sleep apnea
  • Update: Read More
• Topic: Commode chair with integrated seat lift mechanism, nonelectric, any type.
  • Update: Read More

HCPCS – Drugs & Biologicals

• Topic: Eribulin mesylate
  • Update: Read More
• Topic: C-1 esterase inhibitor, brand name Cinryze – J0598
  • Update: Read More
• Topic: HCPCS code Q0138, injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-ESRD use)
  • Update: Read More
• Topic: Iron sucrose with a diagnosis of cancer-induced anemia or chemotherapy-induced anemia
  • Update: Read More
• Topic: Irinotecan liposome
  • Update: Read More
• Topic: Tocilizumab
  • Update: Read More
• Topic: CPT code 26341, manipulation, palmar fascial cord (i.e., Dupuytren’s cord), post enzyme injection (eg, collagenase), single cord
  • Update: Read More
• Topic: Administration of hydroxyprogesterone caproate
  • Update: Read More
• Topic: Ofatumumab
  • Update: Read More
• Topic: Ofatumumab
  • Update: Read More
• Topic: Pegaptanib
  • Update: Read More
• Topic: Tocilizumab
  • Update: Read More
•  Topic: Tocilizumab
  • Update: Read More
•  Topic: Brentuximab vedotin
  • Update: Read More
• Topic: Pasireotide
  • Update: Read More
• Topic: Injection, octreotide, depot form for intramuscular injection, 1 mg
  • Update: Read More
•  Topic: Hyaluronan or derivative for intra-articular injection
  • Update: Read More

Incidental

• Topic: X-ray equipment transport bundled to the facility admission
  • Update: Read More

Modifiers

• Topic: ESRD facility-hemoglobin modifiers
  • Update: Read More

Place of Service

• Topic: Polysomnography and sleep studies
  • Update: Read More

Surgery

• Topic: Global obstetrical services delivery of multiple gestations
  • Update: Read More

Units

• Topic: Once-in-a-lifetime bilateral services
  • Update: Read More

CPT^® is a registered trademark of the American Medical Association.

Source(s): Humana’s YourPractice Newsletter August 2018;