Payment Policy Updates

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November 5, 2026

The following policies received their annual review with no changes:

The following policies received their annual review with the changes noted below:

Modifier 80, 81, 82, or AS – Assistant at Surgery

  • Changed the name from “Modifier 80, 81, 82 – Assistant Surgeons (Physician)” to “Modifiers 80, 81, 82, or AS – Assistant at Surgery”
  • In the policy section, criteria from the modifier AS policy are added, as the modifier AS policy is archived effective November 5, 2026.

Modifier AS

  • This policy is archived effective November 5, 2026. Please see our related modifiers 80, 81, 82, and AS – Assistant at Surgery.

Physical Medicine and Rehabilitation Services

  • Changed the effective date for always therapy from December 4, 2026 to “to be determined.”

Preadmission Services

  • Added a clarification to the policy section within the same claim statement to bill on the same claim if the preadmission services are performed within the same facility as the inpatient admitting facility.

Routine Test Management

  • Clarified the exclusion statement to specify individual plans are excluded for dates of service prior to January 1, 2027.