Billing Code Update for Nurse Practitioners and Physician Assistants (March 2018)

Medicaid provided instructions to NCTracks to update the claims processing system to address claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs).

The following procedure codes are updated to include additional NP and PA taxonomies.

*Codes marked with an (A) were updated for modifiers 80 and 82
*Codes marked with a (D) were updated for modifier 57

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. Additional code problems will be addressed as DMA Clinical Policy becomes aware of them.

CSRA, 1-800-688-6696