Physician

Physician

The following documents are available for this provider type. See also All Providers.

Provider Manual

To see the full history of Notices of Rulemaking and Official Notices for this provider type, please download from the manual “Other Policy-Related Notifications for this Provider Type” using the link above. Additional Notices issued for all provider types can be found using the “Other Policy-Related Notifications for All Provider Types” link above.

RA Messages

DateSubject
5/7/26-5/21/26Units Per Day (UPD) Updated for J1628
4/30/26-5/14/26NCCI Quarterly Update Identifies Claims Paid in Error
4/30/26-5/14/26ARKids Copay Bypass
4/16/26-4/30/26Updates for Procedure 77387
4/9/26-4/23/26PA Required for 81415, 81416, and 81417
4/2/26-4/16/26Claims Paid in Error Due to NDC System Error
3/26/26-4/9/26Procedure 61154 ASTSG
3/12/26-3/26/26Coverage for 93246 – EXT ECG>7D<15D RECORDING
3/5/26-3/19/26Age Restriction of 0-20 Years Added to 92622, 92623, 92626, and 92627 in AUDHA Contract
2/5/26-2/19/26System Updated to Exclude Procedure 59025 From Audits 6792 and 6793
2/5/26-2/19/26Units Per Day (UPD) Updated for J1568
2/5/26-2/19/26Coverage for G0328
1/15/26-1/29/26Place of Service Update for Procedure Code 38900
1/8/26-1/22/26Place of Service (POS) 81 Added to Radiology Contract When Billed with Modifier TC
12/11/25-12/25/25Procedure Code 36556 Place of Service (POS) Updated
11/27/25-12/11/25LYRIC MULTICODE REBUN Backout for Lab Procedures 87800 and 87801
11/27/25-12/11/25Place of Service Updates for Procedure Codes 50430, 50431, 50432, 50433, 50434
10/30/25-11/13/25Age Update for Procedure J0219 (INJ AVAL ALFA-NQPT 4MG)
10/30/25-11/13/25Coverage Reactivated for J1302, J1303, J1304, and J1305
9/25/25-10/9/25Place of Service (POS) Updates for Procedure 01215
9/11/25-9/25/25Coverage for Procedure Codes 61736 and 61737
9/4/25-9/18/25Professional Crossover Claims Duplicated in Error Will Be Recouped
9/4/25-9/18/25Procedure Codes J9266 Rate Update
9/4/25-9/18/25Delivery Codes Removed From Audits 6792 and 6793
8/28/25-9/18/25Place of Service Updates for Procedure Code 00797
8/21/25-9/4/25Procedure Codes 99234-99236 and 99238-99239 Changes
8/14/25-8/28/25Date of Death Review with Claims Impacted
7/31/25-8/14/25Place of Service Updates for Procedure Code 22511
7/24/25-8/7/25Procedure Code Q2009 Update
7/17/25-7/31/25Coverage Update for 58300 and 58301
7/3/25-7/31/25Pharmacy Adding Electronic PA (ePA) and CoverMyMeds
6/26/25-7/10/25Obstetrics (OB) Services Billing Changes (Global/Itemized) and Postpartum Visits
6/19/25-7/3/25CLIA Waived Codes with MOD QW
6/19/25-7/3/25Place of Service Updates for Procedure Code 50693
5/29/25-6/12/25Place of Service Updates for Procedure Code 50435
5/22/25-6/5/25EPSDT Services – Extension of Benefit Requests
5/22/25-6/5/25Age Update for Procedure Code 90739 HEPB VACC 2/4 DOSE ADULT IM
5/8/25-5/22/25Coverage Updates for Procedure Codes 37252 and 37253
5/8/25-5/22/25Coverage Updates for Procedure Codes 11976, 11982, 58300, and 58301
5/8/25-5/22/25Coverage Updates for Procedure Codes J0741 and J1324
4/3/25-5/1/25Upcoming Changes for Preferred Blood Glucose Meters
3/27/25-4/10/25Coverage for Procedure Code 58674 – LAPS ABLTJ UTERINE FIBROIDS
3/20/25-4/3/25ARKids Hearing/Vision Screenings

Fee Schedules

Procedure Code Tables

Recent Official Notices