Non-Reimbursable Health Service Codes Policy

Effective October 1, 2026, the following codes have been added to the NSR policy. 

The following codes will be denied for Facility Claims for all lines of business. 

A2046

A2047

A2048

A2049

A2050

A4228

A9613

E0788

L8697

Q4207

Q4223

Q4243

The following codes will be denied for Professional and Facility Claims for all lines of business. 

1069T

1070T

1071T

1072T

1073T

1074T

1075T

1076T

1077T

1078T

The following two codes will be denied for Professional and Facility Claims for all lines of business but will be reimbursed for DME professionals. 

L1330

L1972

For additional details related to this policy, please click here.