Novitas Educational Tips and Tools – NETTs: Importance of Documentation
Codes 76937 & 76942 denied when performed by a Physician Assistant or Nurse Practitioner
UPDATED: (3/20/14 @ 8:45AM)
As of March 20, 2014, all claims have been adjusted. This issue is now closed.
ORIGINALLY ISSUED: (2/27/14 @ 4:00PM)
Beginning August 2, 2013 Novitas Solutions incorrectly denied Current Procedural Terminology (CPT) codes 76937 and 76942 when performed by a Physician Assistant (PA) or Nurse Practitioner (NP) in the JH jurisdiction. We have updated our processing system to allow payment for these two codes as of February 28, 2014. A mass adjustment project is being initiated to automatically adjust claims that may have been denied in error. No provider action is necessary to request adjustment of claims.
Medicare Learning Network (MLN) Matters Articles from CMS
- MM8641 – Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens for Calendar Year (CY) 2014
- MM8664 – April Update to the Calendar Year (CY) 2014 Medicare Physician Fee Schedule Database (MPFSDB)
Re-Issued:
CMS MLN Connects Provider e-News
The March 20, 2014 edition of the MLN Connects Provider e-News is now available.
**Please take note of the article included in the Claims, Pricers and Codes section of this edition:
- Medicare Only Accepting Revised CMS 1500 Claim Form (02/12) Starting April 1
