Article Detail - JE Part A
COVID-19 Monoclonal Antibodies and Their Administration Codes RTP in Error - Resolved 02/13/23
Provider/Supplier Type(s) Impacted: Not applicable
Reason Codes: 32415 and 31498
Claim Coding Impact: Q0220, Q0221, M0221, Q0222, M0222, and M0223
Description of Issue: Noridian identified claims billed with Q0220, Q0221, M0221, Q0222, M0222, and/or M0223 were returning to the provider (RTP) in error. These claims hit Reason Codes 32415 or 31498. The issue impacted claims received 12/08/22 through 01/19/23.
Noridian Action Required: Noridian has updated the system logic.
Provider/Supplier Action Required: No action required.
Proposed Resolution/Solution: Noridian will reprocess claims in RTP status with Reason Code 32415 or 31498.
02/13/23 - Noridian recycled the claims in RTP status with Reason Code 32415 or 31498. Claims will reprocess per the updated logic.
Date Reported: 02/10/23
Date Resolved: 02/13/23
