Individual plan edits Clinical edits by code archive

These clinical edits by code only apply to claims for members with Individual plans. The list is sorted by code and contains all cosmetic, investigational, and non-reimbursable services, as well as the supporting documentation requirements for each.

Name
2023-11 - Individual plan edits by code list
2023-11 - Individual plan edits by code list (Excel)
2023-12 - Individual plan edits by code edit removal list
2023-12 - Individual plan edits by code list
2023-12 - Individual plan edits by code list (Excel)
2023-12 – Individual plan edits by code add list
2024-01 - Individual plan edits by code add list (PDF)
2024-01 - Individual plan edits by code edit removal list (PDF)
2024-01 - Individual plan edits by code list
2024-01 - Individual plan edits by code list (Excel)
2024-02 - Individual plan edits by code add list
2024-02 - Individual plan edits by code edit removal list
2024-02 - Individual plan edits by code list
2024-02 - Individual plan edits by code list (Excel)
2024-03 - Individual plan edits by code add list
2024-03 - Individual plan edits by code list
2024-03 - Individual plan edits by code list (Excel)
2024-04 - Individual plan edits by code add list
2024-04 - Individual plan edits by code edit removal list
2024-04 - Individual plan edits by code list
2024-04 - Individual plan edits by code list (Excel)
2024-05 - Individual plan edits by code add list
2024-05 - Individual plan edits by code edit removal list
2024-05 - Individual plan edits by code list
2024-05 - Individual plan edits by code list (Excel)
2024-06 - Individual plan edits by code add list (PDF)
2024-06 - Individual plan edits by code list (Excel)
2024-06 - Individual plan edits by code list (PDF)
2024-07 - Individual plan edits by code add list
2024-07 - Individual plan edits by code edit removal list
2024-07 - Individual plan edits by code list
2024-07 - Individual plan edits by code list (Excel)
2024-07 - Individual plan edits by code list (Excel)
2024-08 - Individual plan edits by code edit removal list
2024-08 - Individual plan edits by code list
2024-08 Individual plan edits by code list (Excel)
2024-09 - Individual plan edits by code add list
2024-09 - Individual plan edits by code edit removal list
2024-09 - Individual plan edits by code list
2024-09 - Individual plan edits by code list (Excel)
2024-10 - Individual plan edits by code add list
2024-10 - Individual plan edits by code edit removal list
2024-10 - Individual plan edits by code list
2024-10 - Individual plan edits by code list (Excel)