AMA CPT® Assistant - 1998 Issue 3 (March)

HCFA to Fix Coding Initiative Edits (March 1998)

March 1998 page 3 HCFA to Fix Coding Initiative Edits HCFA to Fix Coding Initiative Edits A significant number of Medicare claims are being erroneously denied due to a glitch in new editing tools that the Health Care Finance Administration (HCFA) uses to check claims for accuracy. Certain CPT Codes in the laboratory section, when reported in conjunction with any Evaluation and Management Service code (99201-99360), have been incorrectly bundled in the edit system. HCFA has indicated that the edits result in automatic denials for the following tests, when reported on the same date of service as an E/M...

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