Article Detail - JE Part B
MUE Incorrect Denials - Resolved 10/29/21
Provider/Supplier Type(s) Impacted: Not applicable.
Reason Codes: Not applicable.
Claim Coding Impact: CPT codes 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239
Description of Issue: When updates were made for the October Quarterly Release, there was an incorrect unit value for identified CPT codes 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239. This error caused claims to deny incorrectly.
Noridian Action Required: The correct Medically Unlikely Edit (MUE) file was loaded into Production on 10/07/21. Mass Adjustments will be completed to reprocess incorrectly denied claims.
Provider/Supplier Action Required: No action is required.
Proposed Resolution/Solution: The fix was loaded on 10/07/21. Claims will no longer deny in error.
10/29/21 - The mass adjustments were initiated 10/27/21. Additional procedure codes were identified and included in the adjustments.
Date Reported: 10/08/21
Date Resolved: 10/29/21
Last Updated Wed, 10 Nov 2021 19:09:00 +0000