Billing Beat

Palmetto J1 88305 Prostate Biopsy Frequency denying incorrectly

February 28, 2013

Claims submitted with CPT 88305 for Prostate Biopsy Frequency were denying incorrectly. The claims affected were processed on 11/14/2012 for dates of service on or after 1/1/2012. The issue has been resolved on 1/22/2013 with mass adjustments to the affected claims completed on 1/10/2013.

Medicare Part A and Part B MAC for Jurisdiction 11; comprised of North Carolina, South Carolina, Virginia and West Virginia. Medicare Part A and Part B MAC for Jurisdiction 1; comprised of California, Hawaii and Nevada.

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