NCTracks
Billing Code Update for Nurse Practitioners and Physician Assistants
Since the transition to the new Medicaid Management Information System (MMIS) – 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 NP and PA taxonomies. Any codes currently in process for system updates will be published once system modifications are completed. Additional codes will be addressed as they are received by DMA Clinical Policy.
|
Codes Updated for NP and PA Taxonomies |
||||||
|
10080 |
22632 |
36589 |
72070 |
82728 |
96415 |
99245 |
|
11100 |
22633 |
36590 |
72110 |
83540 |
96417 |
99251 |
|
11752 |
22634 |
36870 |
72120 |
83550 |
96523 |
99252 |
|
11981 |
22802* |
38220 |
72202 |
83735 |
99170 |
99253 |
|
17106 |
22804* |
43644 |
73000 |
83789 |
99202 |
99254 |
|
17111 |
22843* |
47525 |
73080 |
83805 |
99203 |
99255 |
|
20500 |
22845 |
49422 |
73550 |
83840 |
99204 |
99285 |
|
20552 |
23600 |
51705 |
75820 |
83925 |
99205 |
99291 |
|
20610 |
24530 |
51741 |
85018 |
83992 |
99212 |
99292 |
|
22325* |
24560 |
51798 |
75978 |
84153 |
99213 |
99304 |
|
22326* |
24576 |
54056 |
75984 |
84460 |
99214 |
99305 |
|
22327* |
27245 |
56501 |
76645 |
84479 |
99215 |
99306 |
|
22328* |
27269* |
58300 |
76700 |
85610 |
99217 |
99354 |
|
22532* |
27501 |
58301 |
80048 |
85652 |
99218 |
99355 |
|
22533* |
27560 |
59025 |
80061 |
86376 |
99219 |
99385 |
|
22534* |
27810 |
61070 |
80069 |
86756 |
99220 |
99395 |
|
22548* |
27824 |
61154 |
80154 |
87184 |
99222 |
G0202 |
|
22552* |
32655 |
62252 |
80299 |
87480 |
99223 |
G0434 |
|
22554* |
33405 |
63030 |
81002 |
87510 |
99234 |
J2270 |
|
22556* |
33430 |
63045* |
81003 |
87660 |
99235 |
J2469 |
|
22558* |
33464 |
63047 |
81025 |
87880 |
99236 |
J3420 |
|
22590* |
33472 |
63281 |
82043 |
88164 |
99238 |
J3480 |
|
22595* |
36558 |
63709* |
82075 |
96366 |
99239 |
J7030 |
|
22600* |
36561 |
64721 |
82145 |
96367 |
99241 |
J7321 |
|
22610* |
36571 |
67700 |
82205 |
96372 |
99242 |
J7323 |
|
22612* |
36581 |
70450 |
82486 |
96374 |
99243 |
J7325 |
|
22630* |
36582 |
72069 |
82520 |
96375 |
99244 |
Q0111 |
* Codes marked with an asterisk (*) were updated for modifiers 80 and 82 only.
[Republished from the May 2015 Medicaid Bulletin]