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Claims Rejecting Incorrectly for G61

HFS System Issue:

Local Health Department claims rejecting incorrectly for G61, Service Not Covered Without Modifier.


Error code G61 was to apply to Local Health Departments only when billing physical/occupational/speech therapy services. However, all local health department billed services are currently rejecting.

Providers Impacted:

Local Health Departments

Procedure Codes Impacted:

All procedure codes

Problem Begin Date:

June 9, 2014

Problem Fix Date:

August 5, 2014

Resolution for Impacted Claims:

Please re-bill affected claims with dates of service 06/09/14 through 08/04/14.