Procedure Code Update: Outpatient Surgery Site of Care Medical Policies
- WPA/NEPA
- CPA/SEPA
- DE
- WV
Tue, Jul 07, 2026
Effective May 1, 2026, Highmark added musculoskeletal-related procedure codes to Commercial Medical Policy (MP) Z-109 and Medicare Advantage MP Z-129, both of which cover Outpatient Surgery Site of Care. The appropriate codes were added to the Delaware, Pennsylvania, and West Virginia versions of these policies.
Note: These procedure codes were originally removed from the relevant medical policies on Jan. 12, 2026.
Following is a list of the codes that have been added:
21089 |
21110 |
22513 |
22514 |
22515 |
22551 |
22552 |
22558 |
22585 |
22600 |
22612 |
22614 |
22630 |
22633 |
22634 |
22840 |
22842 |
22845 |
22846 |
22853 |
22854 |
22856 |
22858 |
22870 |
22899 |
23000 |
23020 |
23120 |
23130 |
23410 |
23412 |
23415 |
23420 |
23430 |
23440 |
23450 |
23455 |
23462 |
23470 |
23472 |
27096 |
27130 |
27279 |
27403 |
27412 |
27415 |
27416 |
27418 |
27420 |
27422 |
27427 |
27428 |
27438 |
27446 |
27447 |
27599 |
28110 |
28291 |
28295 |
28296 |
28297 |
28299 |
28306 |
28322 |
28755 |
29805 |
29806 |
29807 |
29819 |
29820 |
29821 |
29822 |
29823 |
29824 |
29825 |
29826 |
29827 |
29828 |
29860 |
29861 |
29862 |
29863 |
29870 |
29873 |
29874 |
29875 |
29876 |
29877 |
29879 |
29880 |
29881 |
29882 |
29883 |
29884 |
29885 |
29886 |
29887 |
29888 |
29889 |
29892 |
29899 |
29914 |
29915 |
29916 |
29999 |
0275T |
62320 |
62321 |
62322 |
62323 |
62350 |
62362 |
62380 |
63030 |
63035 |
63042 |
63056 |
63650 |
63655 |
63685 |
64479 |
64480 |
64483 |
64484 |
64490 |
64491 |
64492 |
64493 |
64494 |
64495 |
64510 |
64520 |
64633 |
64634 |
64635 |
64636 |
C9757 |
G0260 |
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To access the updated MP Z-109 or MP Z-129, go to the Medical Policies page on the Provider Resource Center (PRC). Scroll down to the search site for Commercial or Medicare Advantage, choose your region, and type the policy into the search bar.
Additional Resource
The Medical Policy Update newsletter is a monthly publication that focuses only on medical policy and claims administration updates, including coding guidelines and procedure code revisions.
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