Author: CSRA
North Carolina Medicaid received calls concerning claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs).
Medicaid has provided instructions to NCTracks to update the claims processing system. The following procedure code list is updated to include additional NP and PA taxonomies. Newly added codes are:
|
17261 (B) |
17262 (B) |
21750 (A) |
27538 |
|
27538 (B) |
27590 (A) |
32663 (A) |
33020 (A) |
|
33413 (A) |
33463 (A) |
33512 (A) |
33641(A) |
|
33647(A) |
33681 (A) |
33750 (A) |
33780 (A) |
|
33786 (A) |
33820 (A) |
33822 (A) |
33840 (A) |
|
33845 (A) |
33917 (A) |
33925 (A) |
35301 (A) |
|
35371 (A) |
35566 (A) |
35656 (A) |
35665 (A) |
|
36821 (A) |
36830 (A) |
43752 |
63015 (A) |
*Codes marked with an (A) were updated for modifiers 80 and 82 only
*Codes marked with a (B) were updated for modifier 59 only
The Medicaid website has a complete list of previously denied billing codes for NP, PAs and Certified Nurse Midwives.
Note: Codes currently in process for system updates will be published once system modifications are completed. New code problems will be addressed as Medicaid becomes aware of them.
CSRA, 1-800-688-6696