Clinical Policy 1E-7, Family Planning Services Claims Issue Update

<p>Affected providers should resubmit claims that were denied for&nbsp;procedure code 58661 at this time. &nbsp;</p>

An issue was identified with Ambulatory Surgical Center (ASC) provider claims for Family Planning Medicaid (MAFDN) Beneficiaries denying for procedure code 58661 (Laparoscopy, surgical; with removal or adnexal structures (partial or total oophorectomy and/or salpingectomy)). These claims denied with EOB 00079- This Service is Not Payable to Your Provider Taxonomy in Accordance with Medicaid Guidelines.  

NCTracks is updated to correct the taxonomy issue for procedure code 58661 so that MAFDN claims will process correctly. Affected providers should resubmit claims that were denied for this issue at this time.  

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NCTracks Contact Center: 800-688-6696

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