RESOLVED: Rituximab Denials Local Coverage Determination L35026

Current Status
3/11/2019: Resolved. Adjustments have been completed and will continue through the claim processing system.

Issue Identified: January 23, 2019

Issue: An editing issue caused some claims for HCPCS code J9311 and J9312, with dates of service January 1, 2019, and after, to deny incorrectly with claim adjustment reason codes CO-50. 

Provider Action: There is no provider action. Editing is being updated and Palmetto GBA will adjust affected claims. This CPIL will be updated once the adjustments have been completed.

Status:
3/11/2019: Resolved. Adjustments have been completed and will continue through the claim processing system.

1/30/2019: Editing has been updated.

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Provider Contact Center: 855-696-0705

TDD: 866-830-3188

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