JavaScript is disabled or unavailable.Reimbursement PoliciesCurrent Reimbursement Policies Navigate # A B C D E F G H I J K L M N O P Q R S T U V W X Y ZA Applied Behavior Analysis for Autism Spectrum Disorder C Chiropractic Care Colorectal Cancer Screening D Dental Services Rendered in a Hospital or Ambulatory Surgery Center Diagnostic Colonoscopy and/or Sigmoidoscopy Digital EEG Spike Analysis Durable Medical Equipment (DME) Modifiers H Hemoglobin A1c I Influenza Testing Intensive Outpatient Program-Behavioral Health Interest Payments M Modifier 25 Modifier 26 and TC: Professional and Technical Component Modifier 59, XE, XP, XS, XU Modifiers N Neonatal Intensive Care Unit (NICU) Level of Care O Overpayment Recovery P Partial Hospitalization Program-Behavioral Health Pre-Exposure Prophylaxis Preventive Services Preventive Evaluation and Management Services and Acute Care Visit on Same Date of Service R Reimbursement Of Advanced Practice Nonphysician Practitioners S Single Dose Vial – Claims Modifiers T Temporary Codes Transcutaneous Electrical Nerve Stimulators U Unlisted and Miscellaneous Codes Urinalysis and Evaluation and Management Services V Venipuncture And Laboratory Services Vitamin D Testing Archived Reimbursement Policies