HCPCS 75580 Returning to Provider With Reason Code 32402
Part A providers in Jurisdiction 6 and Jurisdiction K
Description of Issue
Part A claims being billed with HCPCS 75580 are receiving reason code 32402 when billed with the cardiology revenue code (048X) and cannot process for payment. CMS has determined that claims should be allowed to process when HCPCS 75580 is billed with a cardiology revenue code.
National Government Services Action
NGS will update the HCPCS Screen (MAP1294) for HCPCS 75580 to remove the revenue code restrictions.
Provider Action
Providers are instructed to resubmit or correct any claims that did not process as expected containing HCPCS 75580 due to this issue. Please wait until 9/20/2024 before resubmitting or correcting claims, to allow full implementation of the fix.
Proposed Resolution/Fix
Updates for reason code 32402 completed 9/18/2024