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RAD Code and Correlation Table Updates

March 16, 2015

The following Remittance Advice Details (RAD) messages have been added or updated to help reconcile provider accounts.

Additions
Code
Message
9258 Assistant surgeon's services for outpatient organ procurement are not payable.
9259 CPT code required for outpatient organ procurement.
9260

Revenue code required when service is outpatient organ procurement.

Updated
Code
Message
9252 The ORP ID is not found on the PMF, MCAL, MCARE, NMP, MMCD or DENT ORP File.

Also, Adjustment Reason Codes (ARC), Adjustment Group Codes (AGC), Health Care Remarks Codes (HCRC) and description updates have been added to the Remittance Advice Details (RAD) Electronic Correlation Table to National Codes sections in the Part 1 manual.