As described in INFOBulletin 230310, permanent adjustments to fee schedule codes within the Schedule of Benefits for Physician Services (the Schedule) have been made effective April 1, 2023. Adjustments to the claims payment system related to these Schedule changes are being introduced through staged implementations to ensure correct payment of claims in accordance with the Schedule.
The following Release 7 changes were implemented December 1, 2023, with an effective date of April 1, 2023.
The following fee codes were affected by the change:
- E088A – Congestive heart failure premium
- E518A – Each additional polyp (20 mm to 29 mm)
- E519A – Each additional polyp (10 mm to 19 mm)
- E520A – Each additional polyp (6 mm to 9 mm)
- Z516A – Excision of first polyp (20 mm to 29 mm)
- Z517A – Excision of first polyp (10 mm to 19 mm)
- Z518A – Excision of first polyp (6 mm to 9 mm)
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