CommercialBilling CodesHigh impact
Device, Implant and Skin Substitutes (Facilities) Policy
EmblemHealth·General Surgery, Plastic Surgery, Orthopedics +4 more·Provider News
Effective date
Dec 14, 2023
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare are enforcing new coding guidelines for billing devices, implants, and skin substitutes with their corresponding procedures. The policy provides specific directives for inpatient and outpatient hospital services and requires correct revenue coding based on FDA classification of products as implants.
Action Required
By December 14, 2023: Billing teams at facilities must review and implement the new coding guidelines for devices, implants, and skin substitutes. Update billing systems to ensure proper revenue coding based on FDA classification requirements for both inpatient and outpatient hospital services. Review policy document JP 63180 09/2023 for specific coding directives to ensure compliance with EmblemHealth and ConnectiCare requirements.