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Reimbursement Policies Updated in June 2026

Posted Jun 26, 2026

Providers are encouraged to review these updated policies to ensure compliance with current billing and reimbursement requirements.

To see all Healthfirst reimbursement policies go to Healthfirst.org/Reimbursement-Policies

 

Healthfirst has updated the below reimbursement policies in June 2026

National Drug Code (NDC) Billing Requirements Reimbursement Policy

What's New: Updated to incorporate new National Drug Code (NDC) billing requirements.

View Policy →

Preventive Services (Commercial Plans) Reimbursement Policy

What's New: Updated to include newly added preventive CPT and diagnosis codes, as well as the removal of select CPT and diagnosis codes.

View Policy →

Additional Office and Outpatient Services Billed with Evaluation & Management (E&M) Reimbursement Policy

What's New: Updated to incorporate new requirements for add-on CPT code G2211.

View Policy →

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