Additional Information Required for Coverage and Pricing for Category III CPT Codes - R9

The Additional Information Required for Coverage and Pricing for Category III CPT Codes coverage article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301(OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT) and 03601 (WY).

Effective Date: 07/01/19 (unless otherwise noted)
Summary of Changes:

  • Addition of CPT Category III Codes to Group 1: 0543T, 0544T, 0545T, 0546T, 0547T, 0548T, 0549T, 0550T, 0551T, 0552T, 0553T, 0554T, 0555T, 0556T, 0557T, 0558T, 0559T, 0560T, 0561T, and 0562T
  • Removed 0501T, 0503T, and 0504T from Group 1 and moved to Group 4 (Effective 6/27/19)
  • Removed 0502T from Group 1 and moved to Group 3 (Effective 6/27/19)

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Last Updated Oct 14, 2019