Horizon Blue Cross and Blue Shield of New Jersey policies, page 17

Search Horizon Blue Cross and Blue Shield of New Jersey's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

834 public policies Substrate tracks for Horizon Blue Cross and Blue Shield of New Jersey, by title.

Horizon Blue Cross and Blue Shield of New Jersey policies
PolicyDetailsCodesSource
Unicondylar Interpositional Spacer as a Treatment of Unicompartmental Arthritis of the KneeCommercial, Medicaid—Original policy ↗
Unna BootCommercial, Medicaid—Original policy ↗
Urgent Care Center Billing RequirementsEffective Jan 1, 2022 · Commercial, Medicaid11Original policy ↗
Urinalysis with Evaluation and Management (E&M) ServicesEffective Jan 1, 2013 · Commercial, Medicaid2Original policy ↗
Urinary Metabolite Tests for Adherence to Direct-Acting Antiviral Medications for Hepatitis C InfectionCommercial, Medicaid1Original policy ↗
Urine Drug Screening/TestingEffective Nov 30, 2013 · Commercial, Medicaid10Original policy ↗
Use of Common Genetic Variants to Predict Risk of Nonfamilial Breast CancerEffective Aug 1, 2017 · Commercial—Original policy ↗
Ustekinumab (Stelara)Commercial—Original policy ↗
Vagus Nerve Blocking Therapy for Treatment of ObesityCommercial—Original policy ↗
Vagus Nerve Stimulation (VNS)Commercial—Original policy ↗
Vascular CodingEffective Apr 3, 2023 · Commercial, Medicaid4Original policy ↗
Vascular Endothelial Growth Factor Inhibitor and Human Epidermal Growth Factor Receptor InhibitorCommercial—Original policy ↗
Vedolizumab (Entyvio™)Commercial—Original policy ↗
Vendor ProgramsCommercial, Medicaid—Original policy ↗
Venipuncture Facility Outpatient ClaimsEffective Jun 1, 2024 · Commercial, Medicaid8Original policy ↗
Vertebral Axial DecompressionCommercial—Original policy ↗
Vertical Expandable Prosthetic Titanium RibCommercial—Original policy ↗
Vestibular Function TestingCommercial—Original policy ↗
Viscocanalostomy and CanaloplastyCommercial—Original policy ↗
Vision Therapy or Orthoptic Therapy for the Treatment of Visual Disorders or Learning DisabilitiesCommercial, Medicaid—Original policy ↗
Visual-Evoked Potential (VEP)/Visual-Evoked Response (VER)Commercial, Medicaid1Original policy ↗
Vitamin D TestingEffective Jun 15, 2020 · Commercial, Medicaid3Original policy ↗
VitiligoCommercial, Medicaid—Original policy ↗
Vitrectomy Chair / Vitrectomy Support System / Face-Down Positioning Device for Post-Vitrectomy PositioningCommercial, Medicaid—Original policy ↗
Vivitrol® (Naltrexone Extended-Release) InjectionCommercial—Original policy ↗
Voretigene neparvovec-rzyl (Luxturna)Commercial—Original policy ↗
Wearable Cardioverter-DefibrillatorsCommercial, Medicaid—Original policy ↗
Whole Body Dual X-Ray Absorptiometry (DEXA) to Determine Body CompositionCommercial—Original policy ↗
Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic DisordersCommercial, Medicaid6Original policy ↗
Whole-Body CT ScreeningCommercial, Medicaid—Original policy ↗
Wireless Capsule Endoscopy as a Diagnostic Technique in Disorders of the Small Bowel, Esophagus, and ColonCommercial—Original policy ↗
Work Hardening/Conditioning ProgramsCommercial, Medicaid2Original policy ↗
Xiaflex (Collagenase Clostridium Histolyticum)Commercial—Original policy ↗
Yondelis (Trabectedin)Commercial—Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.