Denied Claims with Procedure Code H2021 and a Modifier

September 24, 2012

There was a known issue where claims with code H2021 and a modifier were denied in error for the following reasons:

  • MIHMS Edit 271- Benefit Restriction Group Validation Failed
  • CARC B5 - Coverage/program guidelines were not met or were exceeded

This issue has been resolved and all affected claims will be re-processed. Providers do not need to re-submit these claims.