Billing Code Update for Nurse Practitioners and Physician Assistants

NC Medicaid has received calls concerning claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs). NC Medicaid has provided instructions to NCTracks to update the claims processing system. The following procedure code list was recently updated to include additional NP and PA taxonomies. The newly updated codes are:

Codes marked with an (A) were updated for modifiers 80 and 82 only.

The NC Medicaid website has a list of previously denied billing codes for NPs, PAs and Certified Nurse Midwives and updates made to the codes.

Note: Codes currently in process for system updates will be published once system modifications are completed. New code problems will be addressed as NC Medicaid Benefits and Services section becomes aware of them.