Part A Anesthesia Claim Returning to Providers in Error
Date Reported:
02/01/2022
Date Updated:
06/22/2023
Date Resolved:
06/22/2023
Status:
Closed
Provider Types Impacted:
Jurisdiction 6 and Jurisdiction K Part A Providers
Reason Code(s):
37575, 37576 and 32402
Claim Coding Impact:
Anesthesia service codes
Description of Issue
CMS has instructed all MACs to hold all Part A 13X and 85X TOBs for anesthesia services with DOS on or after 1/1/2022 until CMS fully implements a replacement file for these claims.
National Government Services Action
No further action needed.
Provider Action
Claims that returned to provider erroneously with RC 37575 can be resubmitted, since that issue has been resolved. Providers are advised not to resubmit any other impacted claims at this time.
Proposed Resolution/Fix
Fix implemented 3/21/2022.