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Policy notifications posted as of October 27, 2011

November 1, 2011

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All policies are posted prior to their effective date. Below is a listing of the policy notifications that we have posted to our website as of October 27, 2011.

Policy effective date Notification title Notification issue date October 26, 2011 11.08.14f Removal of breast implants September 26, 2011 October 27, 2011 00.10.18g Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS July 29, 2011 October 28, 2011 07.00.21d Allergy Immunotherapy September 28, 2011 October 28, 2011 11.02.17c Endovascular Stent-Graft Repair of the Thoracic Aneurysm and Dissection September 28, 2011 October 28, 2011 06.02.01d Lyme Disease: Diagnosis and Intravenous (IV) Antibiotic Treatment September 28, 2011 October 28, 2011 12.04.02b Nonemergency Ambulance Transport Services September 28, 2011 November 9, 2011 05.00.21h Durable Medical Equipment (DME) October 10, 2011 November 9, 2011 05.00.42d Patient Lifts October 10, 2011 November 9, 2011 05.00.71 Standing Frames October 10, 2011 November 11, 2011 10.00.02a Day Rehabilitation October 12, 2011 November 11, 2011 07.05.07 Drug-Eluting Beads and Bland Embolization for the Treatment of Hepatic Malignancies October 12, 2011 November 11, 2011 07.03.03d Medical Evaluation and Management for Attention-Deficit Hyperactivity Disorder (ADHD) October 12, 2011 November 16, 2011 03.00.32 Modifier 52 Reduced Services August 18, 2011 January 1, 2012 07.03.14e Inoperative Neurophysiological Monitoring (INM) October 3, 2011 January 10, 2012 05.00.56e Hospital Beds and Accessories October 14, 2011 January 11, 2012 08.01.04 Preventive Immunization October 13, 2011 January 24, 2012 08.00.62d Abatacept (Orencia?) for injection for intravenous use October 26, 2011 January 24, 2012 11.08.15m Reconstructive Breast Surgery October 26, 2011

To view the policy notifications, go to www.amerihealth.com/medpolicy, select Accept and Go to Medical Policy Online, and click on the Policy Notifications box. You can also view policy notifications using the NaviNet? web portal by selecting Reference Materials and Reports from the Plan Transactions menu, then Medical Policy. Once these policies are in effect, they will be available by using the Search box on the Medical Policy homepage. Be sure to check back often, as the site is updated frequently.

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