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1 ene, 2024

MHK Updates

Effective 1 de marzo de 2024 updates will be made to MHK for the following InterQual subsets:

  • Eyelid Lesion Excision, +/- Reconstruction (Custom) 
  • Prior auth will no longer be needed on Medicare Only Sleep studies CPT codes 95808, 95810, 95811
  • Change to the Radiofrequency Ablation (RFA) or Cryoablation, Renal subset (custom) subsets -Prior auth will be removed from codes from CPT codes 50250 and 50542 for both Medicare and commercial LOB 
  • Change to the Reconstruction TMJ and Arthroplasty, Temporomandibular Joint (custom) subset- prior auth will be removed from CPT codes 21050 and 21070 for Medicare and Commercial LOB