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Printed Date: 9/22/2015
6/12/2019: Outpatient hospital claims that reported HCPCS J0881 and J0885 submitted on or after April 1, 2019, were denied in error with reason codes 59276 and 59277. Palmetto GBA isolated the processing issue and will initiate a mass adjustment for claims submitted on or after April 1, 2019, to June 12, 2019. No provider action is required.
Situation Identified on May 30, 2019
Change Requests 10318, 10473, 10859 and 11005 implemented edits for National Coverage Determination (NCD) 110.21 Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions. These edits are interlaid into the Fiscal Intermediary Shared System (FISS) and interacting incorrectly as of April 1, 2019. Palmetto GBA isolated the processing issue on June 12, 2019.
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Last Updated: 06/12/2019