CAH Method II Unlisted HCPCS Codes for Professional Services

Effective April 1, 2010, claims submitted by a CAH Method II provider containing unlisted HCPCS codes for the following professional services revenue codes will be Returned to the Provider (RTP): 096X, 097X, 098X. CAH Method II providers will need to determine a more specific HCPCS code for unlisted procedures rendered by a physician before resubmitting the claim. Providers unable to determine a more specific HCPCS code can contact the American Medical Association to request a code be assigned for the associated procedure. For more information, click here.