CommercialBilling CodesMedium impact
Preventive Medicine & Screening – How to Effectively Use E&M Codes
EmblemHealth·NY·Provider News
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Multiple policy updates effective January 1, 2022, including new guidance for E&M codes with preventive screening, automated limitations for definitive drug testing codes G0481-G0483, and a new reimbursement policy for no cost/reduced cost drugs and devices for commercial members.
Action Required
By January 1, 2022: Billing team must review updated E&M coding guidelines for preventive services and verify claims system automation for HCPCS codes G0481-G0483. Update billing procedures for no cost/reduced cost drugs and devices to align with new commercial member reimbursement policy. Review quarterly updated Preventive Services Lists for EmblemHealth and ConnectiCare.