Billing Beat

Claim Denial Issue for NCD 190.3 Cytogenetic Studies

August 25, 2016

NGS is informing both Part A and Part B providers of a claim denial issue relative to NCD 190.3 Cytogenetic Studies. Editing for these claims is being temporarily suspended in both Fiscal Intermediary Standard System (FISS) (Reason Codes 59154 and 59155) and the Multi-Carrier System (MCS) (CARCs 50 and M25, RARCs M64 and N386), per CMS instructions. No provider action is needed. Claims that have denied will be re-processed by NGS.

Source: https://www.ngsmedicare.com/ngs/portal/ngsmedicare/newngs/home-lob/news-alerts/production-alerts/index/!ut/p/a1/xVNdb4IwFP0r24OPTcuX4mMFZM4J6mIUXkwHVTulIHZq9utXZJm4ZX4kS9YnTnt6OPfcXhjCCQw52bI5ESzlZFXgsD7VccdRFAt1_e5IQbirOprnWiqqN-AYhjDckC2N0nTJaIGiFSX5EQ4dt-N7hwMuMrGAAZ9vEhqziOTyFheUC053NVTZLjHdbQDhMSArmotNDWV5Gr9FhbOvLcZjui-0s4jFMNAJmUVKswleIhoDXUMGIE2tAWIyoxFCJDZ0tWA_-S0Y9Eku7lqyxECWiH5ZGF1KoLx_JGi-ibDebtn2oK-5LfWqBC8oHAjnLJ5V8PQfBMvBkmB7dQ-3FR8ZMJBVNCoE80EKd22sY8_VkNmAz4XG2OpNByNnKNmVnktU7bmEnz2XX9Wkb2vTd0enwTWV_3d0mhHWS0c3CD5e8bbY63odYjk8xaTsBZz8-fTIn6h5z-rNpXciFoDxWQon5VmWLIeuqSVgNEGsA0iAsakZ2Rzb77MkmfaEEdx_AKXnXNQ!/dl5/d5/L2dBISEvZ0FBIS9nQSEh/

Sign up for Billing Beat