Incorrect Claim Denials
January 6, 2010Railroad Medicare has incorrectly denied claims for various procedures. The affected claims were processed between October 4 and December 14, 2009 and include CPT Codes 82000-84830; 80048-80076; 85002-85810 and 99840-99842. These codes were denied with the message text: ‘M-76-These are non-covered services because this is not deemed a ‘medical necessity’ by the payer.’
Railroad Medicare will automatically adjust these claims that were denied in error.