States Applicable to Alert:
Hawaii, Nevada, Guam, American Samoa, Mariana Islands, Northern California and Southern California
Background Information: Healthcare Common Procedure Coding System (HCPCS) Code J1750 was reactivated with the 2009 Annual HCPCS Update. The pricing indicator was not set up to price from the ASP file. Services submitted from January 1, 2009, to February 20, 2009, may have been rejected for an invoice.
Applies To Procedure Code(s):
J1750 – Iron Dextran, 50mg – Dates of service: January 1, 2009 through February 20, 2009
Remark /Reason Codes:
M23 - Missing invoice
MAC Action:
A mass adjustment was performed and completed on April 9, 2009. There were 470 claims for Northern California, 496 claims for Southern California and 156 claims for Hawaii, Nevada, Guam, American Samoa, and the Northern Mariana islands to adjust.
This adjustment was for services rejected with the above reason/remark code m23 for claims processed January 1, 2009 to February 20, 2009.
Provider Action: No action required.
Date Reported: March 27, 2009
Date Resolved: April 9, 2009