36620

FISS Narrative
HCPCS Pricing Indicator = "Z" which requires manual pricing. The rate must be entered on claims page 03 by the MAC.

Explanation and Suggestion:
This claim is being returned to you because the unlisted HCPCS code billed is incorrect.

  1. There is a valid HCPCS code for this procedure. Please correct and resubmit. 
  2. If no valid HCPCS can be found for this procedure, please provide a detailed description as well as the time, effort and equipment necessary to perform this service. Please enter the requested information in the remarks section of the claim and resubmit.                                    
  3. Unlisted CPT code 99199 has been used. This is a bundled service and is not separately payable. Please correct and resubmit.         
  4. Claims billed with unlisted laboratory CPT codes 81099, 84999, 85999, 86849, and 87999 require a detailed description of the actual laboratory test. This information must be clearly specified in remarks in order for the lab test to be priced. If the remarks are missing or incomplete, correct and resubmit if appropriate.

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