CommercialBilling CodesMedium impact
Updated Payment Integrity Policy
EmblemHealth·General Surgery, Plastic Surgery, Orthopedics +1 more·Reimbursement
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
EmblemHealth updated their Payment Integrity Policy effective October 1, 2024, to include HCPCS code C8000 in the Device Dependent Devices table for facilities. This affects billing for device-dependent procedures and implants using this specific code.
Action Required
Immediately: Billing team must verify that HCPCS code C8000 is properly configured in billing system as a device-dependent code per EmblemHealth's updated Device, Implant and Skin Substitutes Coding Guidelines. Review any pending or recent claims using C8000 to ensure compliance with new payment integrity requirements. Update billing staff training materials to reflect C8000's inclusion in the Device Dependent Devices table.