Attention: Nurse Practitioners and Physicians Assistants Billing Code Update for Nurse Practitioners and Physician Assistants
Since the transition to NCTracks, the N.C. Division of Medical Assistance (DMA) has received calls concerning claim denials for some services provided by nurse practitioners (NPs) and physician assistants (PAs).
DMA has provided instruction to NCTracks on updating the claims processing system. The following procedure code list has been updated to include additional NP and PA taxonomies. Codes currently in process for system updates will be published once system modifications are completed. New code problems will be addressed as DMA Clinical Policy becomes aware of them.
11000 |
11001 |
11301 |
11302 |
11305 |
11310 |
11900 |
11901 |
12032 |
16030 |
17000 |
17003 |
17004 |
17110 |
20206 |
20501 |
20551** |
20611* |
23350 |
23412* |
25606*** |
27130* |
27310* |
27370 |
29065 |
29075 |
29345 |
29355 |
31515 |
32555 |
32557 |
36005 |
36010 |
36147 |
36148 |
36556 |
36568 |
36580 |
36584 |
36620 |
37191 |
38505 |
40490 |
47505 |
49180 |
49418 |
49423 |
49424 |
50387 |
50389 |
50390 |
50392 |
50393 |
50394 |
50398 |
51600 |
57456 |
57500 |
58100 |
61312* |
61320* |
62284 |
62290 |
62368 |
62370 |
63056* |
63300* |
63300*** |
63308* |
66405 |
64400 |
64445 |
69100 |
69210 |
75902 |
76817 |
76882 |
77001 |
77003 |
82670 |
83014 |
83690 |
84100 |
86003 |
86706 |
86800 |
87101 |
87490 |
87590 |
92025 |
93279 |
93280 |
93285 |
93286 |
93287 |
93288 |
93289 |
93290 |
93291 |
93292 |
93293 |
93750 |
94640 |
94642 |
94664 |
95970 |
95974 |
95978 |
95991 |
96111 |
96450 |
96567 |
96920 |
99143 |
99144 |
99145 |
99148 |
99149 |
99150 |
99183 |
99201 |
99203 |
99211 |
99213 |
J7324 |
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Note:
- Codes marked with 1 asterisk (*) were updated for modifiers 80 and 82 only
- Codes marked with 2 asterisks (**) were updated for modifier 59 only
- Codes marked with 3 asterisks (***) were updated for modifier 55 only