120.869 Prohibiting Insurers from Denying Payment for Procedures Based on Site of Service
The Medical Society of the State of New York (MSSNY) advocates for legislation or regulation that prohibit insurers in NY State from denying payment for a procedure based on the site of service in which it was performed, provided that the procedure is medically necessary, and that site of service is recognized by AMA/CPT as valid for that procedure, and MSSNY advocates for the AMA RUC to expand the allowable sites of service for codes that can be performed to similar standards in an office setting. (HOD 2025-255)
