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Heads up: Novitas to hold CRC claims in certain jurisdictions

Patients and providers in certain areas of the country can expect to be impacted by a claims processing issue.
Doctor looking at paperwork coding
Doctor looking at paperwork coding

Novitas Solutions announced that it will hold claims for certain colorectal cancer screening tests – including screening colonoscopy, FIT and Cologuard – until April in JH/JL jurisdictions due to a claims processing issue.

Here’s what you need to know:

What providers are impacted?

The payment delay will only impact providers in Novitas’ JH (AR, CO, LA, MS, NM, OK, TX, Indian Health and Veteran Affairs) and JL (DC, DE, MD, NJ and PA) jurisdictions.

What codes are affected?

G0104, G0105, G0106, G0120, G0121, G0327, G0328, 81528 and 82270 with dates of service on or after January 1, 2023, until April.

Where can I find more information?

Visit the Novitas Solutions Part B portal for more details.

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