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Important: Postponement of new AmeriHealth New Jersey policy regarding CPT® consultation codes

December 28, 2017

Please be advised that AmeriHealth New Jersey will postpone the implementation of Claim Payment Policy #00.01.64: Consultation Codes, which outlines our reimbursement position on Current Procedural Terminology (CPT) consultation codes.

We previously communicated that this Claim Payment Policy would go into effect January 1, 2018, which would have aligned with reimbursement standards on certain CPT consultation codes set by the Centers for Medicare & Medicaid Services. However, the implementation of this policy will be postponed, and the Notification has been removed from our Medical Policy Portal.

Once the new implementation date is determined, we will post a new Notification on our Medical Policy Portal. We will also communicate this information in a future Partners in Health UpdateSM article.

If you have any questions, email us at consultcodes@amerihealth.com. Be sure to include your name, contact number, and provider ID number in your email.

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