Claim denials for CPT codes 99221 through 99223 and 99231 through 99233

Issue
Claims with dates of service on or after January 1, 2023, for CPT codes 99221 through 99223 and 99231 through 99233 withplace of service 22 (on campus-outpatient hospital) are denying in error.

Resolution
A system update has been made to correct the problem and impacted claims will be adjusted.

Status/date resolved
Open.

Provider action
None.

Current processing issues
Here is a link to a table of current processing issues for both Part A and Part B.

First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore,this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles orforms that may become obsolete without notice.

 

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