Question:

Our MAC is denying many of our dialysis claims that include screening for sexually transmitted infections with dates of service (DOS) in September 2015. Are you aware of any system problems that would cause this? 

Answer:

Dialysis claims with DOS prior to October 1, 2015 that include screening for sexually transmitted infections, are being denied in full instead of at the line level. Medicare administrative contractors (MACs) are updating their systems to correct this problem and will reprocess denied claims (72X type of bill; HCPCS code 86631, 86632, 87110, 87270, 87320, 87490, 87491, 87800, 87810, 87590, 87591, 87850, 86592, 86593, 86780, 87340, or 87341; diagnosis code V74.5 or V73.89).

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