Production Alert Details

RC 55A00 or 55A01 Denials for Denosumab

Date Reported:
08/17/2023
Status:
Open
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 will be done.

Provider Action

No provider action is indicated at this time.

Proposed Resolution/Fix

Mass adjustments will be done.