CPT code 86480 linked to revenue code 302

Effective July 1, 2015, the Indiana Health Coverage Programs (IHCP) will link CPT code 86480 ‒ Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon to revenue code 302 – Laboratory-Immunology. This linkage applies retroactively to fee-for-service claims with DOS on or after July 1, 2014. Beginning July 1, 2015, providers may bill CPT code 86480 and revenue code 302 together as appropriate, for reimbursement consideration. Claims submitted beyond the original one-year filing limit must include a copy of this banner page as an attachment and must be filed within one year of the publication date. Claims with DOS on or after July 1, 2014, that previously denied for explanation of benefits (EOB) 520 – Invalid revenue code and procedure code combination will be mass-reprocessed. Providers will see the reprocessed claims on the Remittance Advice (RA) statements dated July 1, 2015, with internal control numbers (ICNs) that begin with region code 80 (mass-reprocessed).