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Abortion Supplemental Payments

December 4, 2018

A previously published article titled “Abortion Rate Increase” informed providers that, effective for dates of service on or after July 1, 2017, the reimbursement rates for CPT codes 59840 (induced abortion, by dilation and curettage) and 59841 (induced abortion, by dilation and evacuation) were increased. Supplemental payments for CPT codes 59840 and 59841 are $400.00 and $700.00 respectively.

A September 2018 Erroneous Payment Correction (EPC) letter informed providers that these claims were adjusted to correct the reimbursement rates according to these abortion supplemental payment amounts. For more information on the affected provider claims, providers may refer to the EPC letter titled Adjustment of Abortion and MCWP Claims Due to Supplemental Payment Updates (Reference Number P46750).