Billing Beat

Claims for Chorionic Gonadotropin Erroneously Denied

August 25, 2016

Effective retroactively for dates of service on or after October 1, 2015, some claims billed for CPT codes 84702 (gonadotropin, chorionic; quantitative) and 84703 (…qualitative) with ICD-10-CM diagnosis code Z33.2 were erroneously denied. The Department of Health Care Services (DHCS) is correcting this error. An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.

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