Medicare Part B News – JH System Alerts

Codes 76937 & 76942 denied when performed by a Physician Assistant or Nurse Practitioner

UPDATED: (3/12/14 @ 8:45AM):
The mass adjustment project is scheduled for March 14, and claims that may have denied in error will be adjusted.

ISSUED: (2/27/2014)
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 Jurisdiction H States. 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 services previously denied.

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