Billing Code Update for Nurse Practitioners and Physician Assistants

Tuesday, February 16, 2021

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 on updating the claims processing system. The following procedure code list has been updated recently to include additional NP and PA taxonomies. The newly updated codes are:

22214 (A)

22848 (A)

23410 (A)

23455 (A)

23466 (A)

23550 (A)

24341 (A)

24516 (A)

27122 (A)

27165 (A)

27227 (A)

27280 (A)

27513 (A)

27762 (B)

27840 (B)

29820 (A)

40650 (B)

43246 (B)

45100 (B)

47380 (A)

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

* Codes marked with an (B) were updated for modifiers 59, XE, XP, XS and XU only.

The Medicaid website has a complete list of previously denied billing codes for NPs and PAs and the updates that were 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 North Carolina Medicaid Clinical Policy becomes aware of them.

Contact

NCTracks Call Center: 800-688-6696