Customizations to Commercial Claims Editing Software Product

The following revisions have been made to our commercial claims editing software product to be consistent with HMSA's established reimbursement policies.

Category of ServiceCPT/HCPCS CodesProcessing action
Services that fall under the surgery code range but are considered diagnostic servicesCPT codes: 59020 and 59025These codes continue to process as diagnostic services. Multiple surgery reduction and global surgery rules do not apply.
Sterilization performed following a vaginal delivery

Sterilization CPT codes: 58600, 58605, 58615, 58670, 58671.

Vaginal delivery CPT codes: 59400, 59409, 59410, 59610, 59612, 59614

Sterilizations following vaginal deliveries continue not to be subject to multiple surgery reduction rules when done in separate settings.
Procedures considered integral to the primary procedureCPT codes: 34839, 92285, 93792, 93793, 98970, 98971, 98972, 99000, 99001, 99072, 99421, 99422, 99423, 99424, 99425, 99426, 99427, 99437, 99439, 99483, 99487, 99488, 99489, 99490, 99491, 99492, 99493, 99494, 0537T, 0538T, 0539T

HCPCS codes: A9576, A9577, A9578, A9579, A9581, A9583, G0019, G0022, G0023, G0024, G0136, G0140, G0146, G0323, G0332, G0500, G0502, G0503, G0504, G0505, G0506, G0507, G2058, G2061, G2062, G2063, G2064, G2065, Q0091, Q9953 and Q9954, S0220, S3600, S3601
Effective March 1, 2023: G0179, G0180, G0181, G0182
Effective January 1, 2021: 99473, 99474, U0005*
Effective March 1, 2020: G0463

Effective June 3, 2019: 0399T

Effective May 1, 2015: 61781, 61782, 61783

Please note: Effective February 1, 2011, the following codes will be classified as integral to the primary procedure:
20930, 20936, 22841, 38204, 90885, 90887, 91123, 92352, 92353, 92354, 92355, 92358, 92371, 92531, 92532, 92533, 92534, 92605, 92606, 93740, 93770, 94005, 94150, 96902, 97010, 97602, 98960, 98961, 98962, 99002, 99024, 99051, 99058, 99070, 99071,  99078, 99090, 99091, 99288, 99339, 99340, 99363, 99364, 99366, 99367, 99368, 99374, 99377, 99379, 99380, A4262, A4270, A4300, A4550, G0269, Q3031, R0076
Effective June 08, 2021: M0201 
These codes continue to deny as integral to the associated primary procedure.  In certain scenarios integral codes may deny as part of the case rate until the rule order can be reviewed and updated.
*U0005 to deny as integral from 1/1/2021 to 2/28/2021. Effective 3/1/2021, U0005 will be separately payable. 
Multiple endoscopy familiesA list of CPT codes are available in the Multiple Endoscopy Procedures document.Codes listed in the Multiple Endoscopy Procedures document continue to process according to the multiple endoscopy reduction rules.
Anesthesia qualifying circumstances modifier for ageCPT code 99100This edit was customized to process according to CPT code guidelines.
Miscellaneous medical and surgical suppliesHCPCS code A4649These codes are still considered incidental supplies when used during a physician office visit and are considered part of the established fees for E/M visits. See Supplies for additional information.
Cast suppliesHCPCS codes: A4580, A4590Cast supplies (A4580) continue to be processed for reimbursement when billed with special casting material (A4590).

Revision History

Date Nature of Revision
08/03/2026

Migrated to new platform