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Coding update for codes Q5116 to Q5118

 

Procedure/Revenue codes

 

Q5116 to Q5118

 

What’s changing

 

The above codes will be assigned to DEFALLDRUGS, effective March 1, 2023. The codes will remain assigned to the following service groupings:

 

  • ALLDRUGS
  • ALLDRUGSWCS
  • DIALYSDRUG
  • DRUGS
  • DRUGCJSQ
  • HCDHPALL
  • HCDHPALLWCS
  • HCDHPCHEMCS
  • HCDHPCHEMO
  • OPCHEMODRUG 

 

If the contract contains a DEFALLDRUGS or one of the service groupings noted above, the applicable service grouping rate will be applied.

 

If the contract contains none of these provisions, the relevant terms of the contract will rule.

 

Note to Washington State providers: Your effective date for changes described in this article will be communicated following regulatory review.

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

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