Reminder: Reimbursement Notice for Non-Medical Admin Codes
November 30, 2015 - As you know, CareFirst will no longer reimburse for claims billed with non-medical administrative services as the primary diagnosis code for dates of service on or after Nov. 1, 2015.
These codes include: Z02.71, Z02.79, Z76.0, Z04.8, Z04.9, Z02.89 and Z02.9.
You must bill the reason for the visit as the primary diagnosis. Non-medical administrative diagnosis codes may be billed as the secondary or subsequent diagnosis.
If you are referring a member for additional tests, be sure to indicate the primary diagnosis code on the referral or physician's order.