HCPCS 82947 RTPs End-Stage Renal Dialysis Providers
Date Reported:
11/14/2024
Status:
Open
Provider Types Impacted:
Part A ESRD providers in JK and J6.
Reason Code(s):
31773
Claim Coding Impact:
HCPCS 82947 with ICD-10 Z13.1
Description of Issue
As of 1/1/2024, Medicare has covered HbA1c tests for diabetic screening (HCPCS 82947) when billed with ICD-10 Z13.1. Some of these claims submitted by ESRD providers have been RTP'd in error.
National Government Services Action
NGS will correct this issue on approximately 11/18/2024 when FISS has been updated.
Provider Action
No provider action is needed. On or after 11/18/2024, providers may resubmit their claims.
Proposed Resolution/Fix
Approximately 11/18/2024