Noridian Telephone Reopening: Requests Containing Ambulance, Critical Care and MolDX Services No Longer Accepted (Medicare)

Effective immediately, claims containing the below procedure codes now require documentation be submitted with their Reopening request and will no longer be corrected via a Telephone Reopening.

• Ambulance: A0021-A0999
• Critical Care: 99291 and 99292
• Molecular Diagnostic (MolDX): 81200-81383, 81400-81479, 88380-88381, G0452, 81479, 84999, 85999, 86849, 87999, 88199, 88299, 88399, 89398, 83890-83914, and 88384-88386

When documentation is required to process a Reopening, providers must submit the request as a Written Reopening with a completed "Reopening Form" or through Endeavor. If a request is more complex, beyond clerical errors or omissions, it is appropriate to submit a Redetermination via the "Redetermination Form."

For more Telephone Reopening information, go to https://med.noridianmedicare.com/web/jeb/topics/appeals/telephone-reopening.

Last Updated Oct 17, 2013 By Noridian

https://med.noridianmedicare.com/web/jeb/article-detail/-/view/10525/telephone-reopening-requests-containing-ambulance-critical-care-and-moldx-services-no-longer-accepted