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Article Detail - JE Part B

January 2022 Add-On Codes Incorrect Denials - Resolved 03/24/22

Provider/Supplier Type(s) Impacted: Providers billing a procedure code with a global period ZZZ, billed alone.

Reason Codes: Standard Code 234 and Remark Code N390

Claim Coding Impact: 22840, 22841, 22842, 22843, 22844, 22845, 22846, 22847, 22848, 22853, 22854, 22859, 33141, 33257, 33258, 33259, 33367, 33368, 33369, 33530, 33924, 34714, 34716, 34833, 37252, 37253, 69990, 93462, 93463, 93464, 93563, 93564, 93565, 93566, 93567, 93568, 93571 and 93662.

Description of Issue: The CPT codes effective 01/01/22 may be denying incorrectly.

Noridian Action Required: Noridian is in the process of updating the affected codes. Once corrected, a mass adjustment will be completed to adjust impacted claims.

Provider/Supplier Action Required: No provider action at this time.

Proposed Resolution/Solution: See above Noridian Action Required. Updates will be provided as they are available.

03/03/22 - The codes have been updated. Mass adjustments will be initiated within the next few weeks.

03/15/22 - Noridian performed the initial round of mass adjustments. A second mass adjustment will be run the week of 03/21/22 to adjust any claims that were still processing when the first adjustment was run.

03/24/22 - No further claims have been identified, so no additional mass adjustments are needed. If providers have any remaining questions, please contact the provider contact center.

Date Reported: 02/15/22

Date Resolved: 03/24/22

 

            Last Updated Tue, 29 Mar 2022 15:17:31 +0000