Updates to edits associated with implants
Empire considers implants to be medical devices that remain in the member’s body upon discharge from the procedure. Therefore, supplies are not considered implants. Claims for supplies should be submitted with the appropriate revenue code(s). Claim lines billed inappropriately will be denied. Providers can resubmit claim for supplies using the appropriate revenue code(s).
If you have questions about this policy, contact your contract manager or Provider Experience representative.
July 2022 Newsletter