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Coding Toolkit

Investigational Codes

CPT and HCPCS codes that are considered by Asuris to be investigational and therefore ineligible for benefits are listed below. Other codes on the Clinical Edit List that are identified as potentially investigational will require submission of documentation to determine eligibility for benefits.

Asuris considers the following codes to be investigational for commercial products (excluding Medicare).

Effective July 1, 2008
Effective June 1, 2008
Effective May 1, 2008
Effective April 1, 2008
Effective March 1, 2008
Effective February 1, 2008
Effective January 1, 2008

Effective December 1, 2007

Effective November 5, 2007

 

The term "investigational" means that the medical technology does not meet Asuris' technology assessment criteria. If any one or more of the criteria are not met, the technology will be determined to be investigational. In addition, all services specifically associated with the investigational technology, including but not limited to associated procedures, treatments, supplies, devices, equipment, facilities or drugs, will also be considered investigational. Learn more about Medical Policy for Investigational Services and Supplies at http://www.regence.com/trgmedpol/intro.html.

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