Reimbursement Policy Updates

Sept. 22, 2026 

Reimbursement policies, formerly known as clinical payment and coding policies, describe payment rules and methodologies for Current Procedural Terminology (CPT®) codes, Healthcare Common Procedure Coding System and ICD-10 coding for claims submitted as covered services. This information is a resource for our payment policies. It’s not intended to address all reimbursement-related issues. We regularly add and modify coding and compensation policy positions as part of our ongoing policy review process.   

The following policies were updated:

Reimbursement Policies

  • RP010 Anesthesia Information - Professional Provider, effective Nov. 1, 2026 
  • RP019 Infusion Services, effective Dec. 11, 2026 
  • RP028 Non-Reimbursable Experimental, Investigational and/or Unproven Services, effective Sept. 11, 2026 

Lab Reimbursement Policies

  • RPLAB045 Pathogen Panel Testing, effective Oct. 1, 2026 

CPT copyright 2025 American Medical Association. CPT is a registered trademark of the AMA. 

Reimbursement policies are based on using healthcare professionals and industry standard guidelines. The reimbursement guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.