Update: RAD Code 0621 Denials of Medi-Cal and Family PACT Claims

An issue was identified that caused Medi-Cal and Family PACT claims for CPT codes 87491 (Chlamydia trachomatis, amplified probe technique) and 87591 (Neisseria gonorrhoeae, amplified probe technique) to erroneously deny with Remittance Advice Details (RAD) code 0621: The monthly/yearly limit for this procedure has been exceeded. The claim is denied. The issue affected claims for dates of service on or after April 1, 2014. The issue was corrected on September 15, 2014. Affected claims will be reprocessed. No action is required of providers.