Selected CPT codes added to PA, APRN contracts

October 11, 2011

Certain CPT codes had been previously omitted from Physician Assistant and Advanced Practice Registered Nursing contracts. For that reason, claims were incorrectly denied. Claims for the following CPT codes will be reprocessed. Providers do not need to resubmit these claims.
- Digestive 40500 thru 40761, 43260 – 43280 - Hemic/Lymphatic 38100 – 38120, 38200, 38570 – 38572 - Medicine 90284, 90296 – 90376, 90636, 90665, 90693 – 90696, 90708, 90746- 90747, 91299, 92540, 92570, 95805, 95807 – 95808, 96103 - Musculoskeletal 21145 – 21244, 22900 – 22905 - Nervous System 61796 -61800, 62267 – 62269, 63620 – 63621, 64402 – 64413 why not 66415, 66416 – 64449 - Other J3364 – J3365