Billing Beat

Reprocessing of HCPCS code G0472

July 28, 2016

HCPCS code G0472 (Hepatitis C antibody screening, for individuals at high risk and other covered indications) was denied in error from January 5, 2015 through May 31, 2016, for beneficiaries born between 1945-1965. Medicare administrative contractors (MACs) have updated their systems to correct this problem and will reprocess denied claims. The system was corrected on June 1, 2016; mass adjustments are being performed by the MACs to reprocess affected claims.

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