Medical Policy Updates

Table Of Contents

Notification of Policy Revisions Effective February 2, 2009 (Posted October 20, 2008)

Medical Policy Revision
Ambulance and Medical Transport Services

Deleted "nursing home" from Item 5 in the When Ambulance is Covered section, and from Item 3 in the When Ambulance is Not Covered section. Added the definition of "emergency" to the Medical Term Definitions section. Added the following statement to the Billing⁄Coding⁄Physician Documentation Information section: All ambulance transport codes and mileage codes must be reported with both the corresponding origin and destination modifiers.

Notification given 10⁄20⁄08.  Effective date 2⁄02⁄09.

Chiropractic Services

Added "4. f. dry hydrotherapy (i.e., Aquamed, Sidmar)" under the "When Not Covered" section. Removed statement from the "Table" sections indicating; "For any diagnosis not listed, care plans may be reviewed on an individual consideration basis." References added.

Notification given 10⁄20⁄08.  Effective date 2⁄02⁄09.

Rehabilitative Therapies

The following statement was added to Item A in the When Rehabilitative Therapies are not covered section, "Dry hydrotherapy (i.e., Aquamed, Sidmar) is not covered." References updated.

Notification given 10⁄20⁄08.  Effective date 2⁄02⁄09.