Payer Updates: Skip 96402 For GnRH Injections in Noridian Patients

Why This Topic Matters

The article highlights a payer-specific reporting change that may affect claim acceptance for certain injections, and it clarifies that annual wellness visit staffing policies can vary by Medicare contractor. Practices and coders need to know which services are impacted, what broader code families are referenced, and which organizations are involved in the policy guidance.

Article Sections

1. Noridian chemotherapy administration update

   Discusses a Medicare contractor update affecting reporting for certain drug administrations and references the broader chemotherapy administration code family. It also identifies the payers and drug categories discussed in the notice.

2. Annual wellness visit staffing guidance

   Summarizes CMS forum guidance about whether licensed nursing staff may perform annual wellness visits under local MAC policies. The section focuses on the service setting, payer policy variation, and provider supervision context.