Billing Beat

New Rate for Procedure Code 84999

September 27, 2012

Effective 9/1/2010, procedure code 84999-“Unlisted Chemistry procedure” now has a rate of $20.00.  Claims already submitted were paid at zero dollars.  These claims will be reprocessed at the $20.00 rate.  Providers do not need to re-submit these claims. Out of state providers need a Prior Authorization to get reimbursed for this code.

Source: MaineCare Listserv 09-18-2012

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