Claim Denials Related to Procedure Code 96119

August 15, 2012

An issue was identified that caused claim denials related to code 96119. Providers received one of the following denials: - CARC code 204: This service/equipment/drug not covered under the patients current benefit plan. (This will appear as Edit 202 in My Health PAS Online)

  • CARC code 185: The rendering provider is not eligible to perform the service billed. (This will appear as Edit 150 in My Health PAS Online)

This issue has now been resolved and you can rebill affected claims.