Billing Code Update for Nurse Practitioners and Physician Assistants

The following procedure code list has been updated recently to include additional nurse practitioner and physician assistant taxonomies.

North Carolina Medicaid received calls concerning claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs).

North Carolina Medicaid provided instructions to NCTracks on updating the claims processing system. The following procedure code list is updated to include additional NP and PA taxonomies. The newly updated codes are:

23466 (A)

23550 (A)

23680 (A)

24685 (A)

28740 (82)

46505

64857 (A)

 

* Codes marked with an (A) were updated for modifiers 80 and 82 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 NC Medicaid Clinical Policy becomes aware of them.

Contact

NCTracks Call Center: 800-688-6696