IHCP Links CPT Code to Revenue Code

Effective May 26, 2016, the Indiana Health Coverage Programs (IHCP) will link CPT code 87507 ‒ Infectious agent detection by nucleic acid (DNA or RNA);  to revenue code 306 – Laboratory-bacteriology and microbiology. This linkage applies retroactively to fee-for-service claims with dates of service (DOS) on or after July 1, 2015. For reimbursement consideration, beginning May 26, 2016, providers may bill CPT code 87507 and revenue code 306 together, as appropriate. Claims with DOS on or after July 1, 2015, that previously denied for explanation of benefits (EOB) 520 – Invalid revenue code and procedure code combination may be resubmitted. Claims beyond the original one-year filing limit must include a copy of this banner page as an attachment and must be filed within one year of the publication date.