T4521 - Inappropriately Requiring Prior Approval
HFS System Issue:
T4521 is denying R09, Requires Prior Approval, inappropriately.
Problem:
On or about 7/21/14, a system change request was made for T4521 that did not affect pricing. When the requested change was made, the system was inadvertently changed to put the code, T4521, on prior approval.
Providers Impacted:
Durable Medical Equipment and Supplies Providers
Procedure Codes Impacted:
T4521, Adult sized disposable incontinence product, brief/diaper, small, each
Problem Begin Date:
Claims with dates of service on or about 7/21/14
Problem Fix Date:
8/4/2014
Resolution for Impacted Claims:
Providers must rebill.