CommercialBilling CodesMedium impact
Payment Integrity Policies
EmblemHealth·Orthopedics, Plastic Surgery, General Surgery +4 more·Reimbursement
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated their Payment Integrity Policies specifically for Device, Implant and Skin Substitutes Coding Guidelines for facilities. This is a coding and reimbursement policy update that affects how facilities should bill for medical devices, implants, and skin substitute products.
Action Required
Immediately: Billing team should review the updated Device, Implant and Skin Substitutes Coding Guidelines on the EmblemHealth provider portal to understand revised coding requirements. Check the revision history section for specific effective dates and applicable changes. Update billing procedures for device, implant, and skin substitute claims to ensure compliance with new guidelines.