System Alert Update

CPT Codes 90661 or 90688 denied for FDA approval or Performed by a Centralized Biller

UPDATE: (2/10/14 @ 4:30 PM)
All adjustments have been initiated as of February 7, 2014.

ISSUED: (01/29/14 @ 2:58 PM)
Services billed for Current Procedural Terminology (CPT) codes 90661 or 90688 were incorrectly denied for either Federal Food and Drug Administration (FDA) approval or based on performance by a Centralized biller.
CPT codes 90661 and 90688 have received FDA approval status effective November 20, 2012 and August 16, 2013 respectively. Due to untimely receipt of this information and subsequent updating of our internal files, claims denied incorrectly. The denial messages would be Claim Adjustment Reason Code (CARC) 114 (not FDA approved) or 170 (preformed by this provider).