Article Detail - JA DME
HCPCS code A4238 and A4239 Claim Payment Alert - Resolved 02/28/24
Provider/Supplier Type(s) Impacted: DMEPOS suppliers
Reason Codes: 151
Claim Coding Impact: A4238, A4239
Description of Issue: Claims for dates of service 01/01/2024 and after for codes A4238 and A4239 are denying in error when more than one unit of service is billed.
Noridian Action Required: Noridian will reprocess claims that denied in error.
Provider/Supplier Action Required: No action needed.
Proposed Resolution/Solution: Editing will be set up to prevent the incorrect denial and claims denied in error will be adjusted.
02/13/24 - Noridian updated the shared system logic on 01/26/24 to prevent additional incorrect denials. Noridian anticipates initiating adjustments on or before 02/29/24.
02/28/24 - Noridian initiated mass adjustments on 02/21/24.
Date Reported: 01/24/24
Date Resolved: 02/28/24
