2015 CPT Code Update Planned for End of May

This is an update on the "CPT Code Update: 2015" article published in the January 2015 Medicaid Bulletin, which can be viewed at the link below. The new 2015 Current Procedural Terminology (CPT) codes are not fully installed into NCTracks and until that is complete, the rates will not be entered into the system. Some of the 2015 CPT codes have already been updated in NCTracks. The remaining 2015 CPT codes are scheduled to be updated in NCTracks by the end of May. Until that time, claims submitted with some 2015 CPT codes will continue to pend in NCTracks for "no rate on file."

The advantage of this process is that when the codes are fully implemented, the rate will be updated and the pended claims will automatically recycle for adjudication. This process allows the provider to bill the new codes immediately and not have to hold claims or file adjustment claims when the CPT codes are fully implemented.

To maintain cash flow, providers may wish to split claims and bill new codes on a separate claim. This will ensure that only claims billed with the new procedure codes are pended for processing.

An announcement will be posted when the remaining 2015 CPT codes have been updated in NCTracks.