Provider/Supplier Type(s) Impacted: Outpatient (13X and 14X) and Critical Access Hospitals (85X)

Reason Codes: C7252

Claim Coding Impact: All HCPCS codes except 0134A, 91313, or 91312

Description of Issue: Claims processed between September 23, 2022, and January 14, 2026, that triggered reason code C7252 were incorrectly processed and paid, except for those associated with HCPCS codes 0134A, 91313, or 91312.

Noridian Action Required: Noridian has updated the system to allow the system to properly reject lines with C7252.

Provider/Supplier Action Required: No provider action is needed to correct the claims. Providers should follow the regular process for paying any overpayments on the claims that processed in error.

Proposed Resolution/Solution: Claims will be identified and adjusted.

Date Reported: 02/18/26

Date Resolved: