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Claims Reprocessing for Procedure Code 1-99464
Information posted March 27, 2009: TMHP has identified an issue that impacts claims submitted before March 5, 2009, with dates of service on or after January 1, 2009, and procedure code 1-99464. Claims may have been denied in error with an explanation of benefits message that indicated that the services are not in line with medical policy. Procedure code 1-99464 may be reimbursed in line with medical policy and does not require medical review. Affected claims will be reprocessed, and payments will be adjusted accordingly. No further action on the part of the provider is necessary.
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