Production Alert Details

Part A Anesthesia Claim Returning to Providers in Error​​​​​​​

Date Reported:
Date Updated:
Date Resolved:
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.