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
8/20/26-9/3/26Updated Coverage for Procedure Codes J1434 and J2468
8/13/26-8/27/26Coverage Updates for Procedures 0479T and 0480T
8/13/26-8/27/26Place of Service (POS) Updates for Identified Procedures
7/30/26-8/20/26CLIA Waived Codes with MOD QW
7/23/26-8/6/26Medical Review Required for Procedures C9309 and J3404
7/9/26-7/23/26Updated Coverage for Procedure Codes J1434 and J2468
7/2/26-7/16/26Procedure Codes 97110 UB and 97150 UB No Longer Covered Under MEDSV & NURSP Contract
6/25/26-7/9/26Removing Med Review for Procedure 90678
6/18/26-7/2/26Radiology Rate Changes for 77387, 77407, and 77412 Retro Effective 1/1/2026
6/18/26-7/2/26Add Medical Review for Procedure J1413
6/11/26-6/25/26ARKids Copay Bypass
5/21/26-6/4/26Age Coverage for 90678 Expanded
5/21/26-6/4/26Coverage update for 0338T and 0339T
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

Fee Schedules

Procedure Code Tables

Recent Official Notices