Provider/Supplier Type(s) Impacted: Laboratories

Reason Codes: Not applicable.

Claim Coding Impact: 87491 and 87591

Description of Issue: Lab tests for Chlamydia and Gonorrhea billed with procedure codes 87491 and 87591 were denied incorrectly for non-covered services.

Noridian Action Required: The shared system was updated 08/26/20 to add screening editing for primary diagnosis Z11.3 per IOM 100-04, Chapter 18, 170.2 and NCD 210.10.

Provider/Supplier Action Required: No action required

Proposed Resolution/Solution: A mass adjustment was completed on 11/02/20.

Date Reported: 11/02/20

Date Resolved: 11/02/20