DURING THE MOST RECENT PHASE OF HIPAA IMPLEMENTATION EPSDT HEALTH SERVICES CLAIMS FOR CODES 97110 AND 97530 WERE ERRONEOUSLY DENIED WITH EDIT 191 (PROCEDURE REQUIRES PRIOR AUTHORIZATION). THESE CLAIM DENIALS HAVE BEEN RECYCLED AND PROCESSED ON THE MARCH 23, 2004 RA. QUESTIONS SHOULD BE DIRECTED TO...
Codes are maintained by Center for Medicare and Medicaid Services (CMS). Medical Record Documentation chief complaint, why the patient presents to the office, relevant history, assessment, physical exam, diagnostic testing and treatment plan *signed by provider of record RBRVS (Resource Based Relative...