Article Detail - JE Part B
Intraocular Bevacizumab Denials - Resolved 12/24/24
Provider/Supplier Type(s) Impacted: All
Reason Codes: Not applicable
Claim Coding Impact: Billing and Coding: Intraocular Bevacizumab (A53008/A53009) CPT/HCPCS codes.
Description of Issue: Noridian is aware of a claims processing issue involving the Billing and Coding: Intracocular Bevacizumab article. Claims are deying incorrectly with CARC 50, "These are non-covered services because this is not deemed a 'medical necessity' by the payer.
Noridian Action Required: Noridian is correcting the system and will be adjusting impacted claims once system updates are complete.
Provider/Supplier Action Required: None
Proposed Resolution/Solution: Noridian to correct system and adjust claims. System corrected on 12/12/24. Mass Adjustment was completed on 12/24/24. All affected claims have reentered the system for reprocessing.
Date Reported: 12/12/24
Date Resolved: 12/24/24
