A4239 Denied Incorrectly - Resolved 01/31/23

Provider/Supplier Type(s) Impacted: All

Reason Codes: CARC 16 and RARC M124

Claim Coding Impact: A4239

Description of Issue: Claims for HCPCS code A4239 denied incorrectly with CARC 16 and RARC M124 when there is a payable K0554 CMN on file. The issue impacted claims processed between 12/28/22 and 01/19/23.

Noridian Action Required: Noridian has corrected the system logic issue.

Provider/Supplier Action Required: No action at this time.

Proposed Resolution/Solution: Noridian will mass adjust the impacted claims. The adjustments are scheduled for the week of 01/30/23.

01/31/23 - Noridian initiated the mass adjustments on 01/30/23.

Date Reported: 01/25/23

Date Resolved: 01/31/23

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