Alerts Details - JF Part B
Laboratory Services 87491 and 87591 Denied In Error - Resolved 11/02/20
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
Last Updated Wed, 04 Nov 2020 15:11:16 +0000