States Applicable to Alert: Hawaii, Nevada, Guam, American Samoa, Northern Mariana Islands, Northern California and Southern California
Background Information: Services for CPT 0144T processed after April 20, 2009, might have been paid in error, thus subject to overpayment collection. Palmetto GBA has identified that services submitted after this date may have automatically passed through our system without being reviewed for a covered ICD-9 code.
Applies To Procedure Code(s):
0144T – Computed tomography, heart, without contrast material, including image post processing and quantitative evaluation of coronary calcium.
Modifier(s): N/A
Remark/Reason Codes: N/A
MAC Action: Palmetto GBA identified and performed a mass adjustment on claims paid in error. Overpayment claims were only identified in Southern California. There were no claims found to have been paid incorrectly Northern California or Hawaii/Nevada.
Provider Action: None
Date Reported: April 20, 2009
Date Resolved: June 24, 2009