RC 55A00 or 55A01 Denials for Denosumab
Date Reported:
08/17/2023
Date Resolved:
09/01/2023
Status:
Closed
Provider Types Impacted:
Jurisdiction 6 and Jurisdiction K Part A Providers
Reason Code(s):
55A00 and 55A01
Claim Coding Impact:
Denosumab (J0897)
Description of Issue
National Government Services is aware of an issue that is causing claims to deny in error with reason code 55A00 or 55A01. The claims involved are for Denosumab (J0897) - Billing and Coding article – A52399 and are firing on edit 5XX84.
National Government Services Action
Mass adjustments completed 9/1/2023.
Provider Action
No provider action is indicated at this time.
Proposed Resolution/Fix
Mass adjustments completed 9/1/2023.