Author: Clinical Policy and Programs
The NC Division of Medical Assistance (DMA) has received calls concerning claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs).
DMA has provided instructions to NCTracks on updating the claims processing system. The following procedure code list has been updated recently to include additional NP and PA taxonomies. The newly added codes are
|
43200 |
43200 (B) |
50385 |
50385 (B) |
|
50386 |
50386 (B) |
52000 |
52000 (B) |
|
52005 |
52005 (B) |
52204 |
52204 (B) |
|
52281 |
52281 (B) |
52310 |
52310 (B) |
|
53621 |
53621 (B) |
53660 |
53660 (B) |
*Codes marked with a (B) were updated for modifier 59
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 DMA Clinical Policy becomes aware of them.
CSRA, 1-800-688-6696