HCPCS J0129 with JA Modifier Denied in Error for SAD Exclusion List - Resolved 02/21/23

Provider/Supplier Type(s) Impacted: Part A Facilities

Reason Codes: 5SADL

Claim Coding Impact: J0129 with the JA Modifier

Description of Issue: Claims billed in Part A containing J0129 with the JA modifier are inappropriately denying for the Self-Administered Drugs Exclusion.

Noridian Action Required: Noridian has updated the system to allow J0129 with the JA modifier.

Provider/Supplier Action Required: N/A

Proposed Resolution/Solution: Noridian is mass adjusting claims. 02/02/24 - Mass adjustment initiated.

02/21/24 - Mass adjustments were completed.

Date Reported: 12/28/23

Date Resolved: 02/21/24

Last Updated Feb 26 , 2024