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Code edit notification

Notification Number: 3643

Effective date: 5/3/2018

Notification date: 2/2/2018

Category: CPT

Topic: Oncoprotein; des-gamma-carboxy-prothrombin (DCP)

Providers affected:

  • Inpatient/Outpatient Facilities
  • Physician/Health Care Providers
What is changing?

Charges for CPT code 83951, oncoprotein; des-gamma-carboxy-prothrombin (DCP), will not be reimbursed.

Why is Humana implementing this change?

Humana's policy regarding tumor markers when diagnosing and monitoring cancer has been updated to indicate that DCP analysis is not a covered expense.

For more information, refer to Humana's Medical and Pharmacy Coverage Policies page and search by keyword “83951.”

Impacted products

  • Commercial fully insured products

Disclaimer

*All edits previously posted on Humana.com/providers for fully insured commercial Humana members may be applied to self-funded members, when requested by the self-funded group.