Medical Record Review Results

Noridian Medical Review (MR) has analyzed findings as a result of Targeted Probe and Educate (TPE) review. The goal of MR is to reduce claim errors by identifying services with top trending errors and providing relevant education. MR encourages providers to review this information to ensure compliance with documentation, billing, and coding guidelines.

Review Criteria Required Documentation Current Error Rate Review Results
CPT® 70496; Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing Radiology Documentation Requirements 73.32%
CPT® 99349; Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded. Evaluation and Management Documentation Requirements 56.70%
HCPCS J0897; Injection, denosumab, 1 mg Drug Administration Documentation Requirements 50.66%
Last Updated Feb 19 , 2026