Highmark Medicare Services is the Part A Medicare Administrative Contractor (MAC) for Delaware (DE), New Jersey (NJ), Pennsylvania (PA), Maryland (MD) and the District of Columbia (DC), and the Part B MAC for Pennsylvania (PA), New Jersey (NJ), Maryland (MD), Delaware (DE) and the District of Columbia Metropolitan Area (DCMA). For Part B services, A/B MAC Jurisdiction 12 includes the Counties of Arlington and Fairfax in Virginia and the City of Alexandria in Virginia. Services for the remainder of the state of Virginia will be covered under A/B MAC Jurisdiction 11. Learn more about us.
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+(ISSUED: 07/01/2009 @10:30 AM - Problem with the processing of CPT critical care codes 99291 and 99292 when billed with a minor surgical procedure (click for details)
We have identified a problem with the processing of CPT code 99291 (Critical care; first 30-74 minutes) and 99292 (Critical care; each additional 30 minutes) when billed on the same day of a minor surgical procedure. The critical care when billed with a 25 modifier may have inadvertently denied. The problem has been resolved and any impacted claims will be automatically adjusted.
