Author: GDIT Call Center, (800) 688-6696
North Carolina Medicaid has received calls concerning claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs).
North Carolina Medicaid has provided instructions to NCTracks and the following procedure code list has been updated recently to include additional NP and PA taxonomies. The newly added codes are:
* Codes marked with an (A) were updated for modifiers 80 and 82
* Codes marked with a (B) were updated for modifier 59
* Codes marked with a (H) were updated for modifier 78
Note: The following codes were updated:
27767, 99471, 22840, 23515, 23430, 27654, 29827, 33415, 33510, 33517, 33608, 33688, 33853 and 43775 with modifiers 80 and 82
27767 and 99471 with modifier 59
27654 with modifier 78
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 North Carolina Medicaid Clinical Policy becomes aware of them.
(MP 19.135, MP 19.140, MP 19.143, MP 19.144, MP 19.145)