Article Detail - JE Part A
Claims Denied in Error with Revenue Code 048X - Resolved 09/17/24
Provider/Supplier Type(s) Impacted: All Providers
Reason Codes: 32402
Claim Coding Impact: HCPCS 75580 and revenue code 048X
Description of Issue: Claims being billed with HCPCS 75580 are receiving reason code 34204 when billed with the cardiology revenue code (048X) and cannot process for payment. CMS has determined that claims should be allowed to process when HCPCS 75580 is billed with a cardiology revenue code.
Noridian Action Required: Noridian has updated the HCPCS Screen (MAP1294) for HCPCS 75580 to remove the revenue code restrictions.
Provider/Supplier Action Required: Providers need to resubmit or correct any claims that did not process as expected containing HCPCS 75580 due to this issue.
Proposed Resolution/Solution: N/A
Date Reported: 09/13/24
Date Resolved: 09/17/24
