Updated: Payment Adjustment for a CPT Code performed in an Ambulatory Surgical Center (ASC)
States Applicable to Alert:
California, Hawaii, Nevada, Guam, Northern Mariana Islands and American Samoa
Background Information: CPT code 77003 was paid when performed in an ASC. This procedure code has an N1 indicator on the ASC Fee Schedule and should not have been paid when performed in an ASC.
View the status of a procedure code when performed in an ASC
Applies To Procedure Code(s): 77003
Modifier(s): N/A
Remark /Reason Codes: None
MAC Action: When the system is updated, a mass adjustment will be performed to collect overpayments on services paid incorrectly. A mass adjustment was completed on August 7, 2009, with no claims adjusted in HI/NV, 447 claims in SCA and 1,533 claims in NCA.
Provider Action: No action required.
Date Reported: March 12, 2009
Date Resolved: August 10, 2009