HCPCS J7326 Paid Incorrectly - Resolved 02/08/23

Provider/Supplier Type(s) Impacted: Any Part B providers billing HCPCS code J7326.

Reason Codes: n/a

Claim Coding Impact: n/a

Description of Issue: Drug and Biological HCPCS code J7326 was contractor priced for dates of service July 1, 2022 through January 11, 2023 rather than using the CMS provided fee.

Noridian Action Required: Noridian corrected the claim system pricing logic.

Provider/Supplier Action Required: Providers should review their remittance notices and comply with any recoupment requests.

Proposed Resolution/Solution: The claims pricing logic was corrected. Noridian will identify affected claims and reprocess them automatically.

02/08/23 - Noridian initiated the mass adjustments.

Date Reported: 01/11/23

Date Resolved: 02/08/23

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