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Erroneously Denied Claims for Chorionic Gonadotropin

July 29, 2016

Effective retroactively for dates of service on or after October 1, 2015, some claims billed with CPT-4 codes 84702 (gonadotropin, chorionic; quantitative) and 84703 (…qualitative) with ICD-10-CM diagnosis code N94.89 may have been incorrectly processed.

An Erroneous Payment Correction (EPC) will be implemented to reprocess affected claims.