Influenza (Flu) Vaccine Denials

Provider/Supplier Type(s) Impacted: All

Reason Codes: Not applicable.

Claim Coding Impact: Vaccine and Influenza

Description of Issue: Noridian is aware of flu vaccines procedure codes 90653, 90656 and 90661 denied incorrectly with CARC CO16 "Claim/service lacks information or has submission/billing error(s)". This issue impacted claims with dates of service on/after August 1, 2024.

Noridian Action Required: The system update was completed on September 12 to no longer deny the impacted procedure codes for dates of service on/after August 1, 2024. Noridian will conduct a mass adjustment for claims denied in error.

Provider/Supplier Action Required: None

Proposed Resolution/Solution: None

Date Reported: 09/12/24

Date Resolved:

Last Updated Sep 12 , 2024