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When billing for infusion therapy other than chemotherapy with the new codes (i.e., 90780), why are our claims being returned with reason codes 31422 or 31432?

April 26, 2017billing chemotherapy Infusion RETURNED therapy

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When billing for infusion therapy other than chemotherapy with the new codes (i.e., 90780), why are our claims being returned with reason codes 31422 or 31432?

1 Answer

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We are aware that claims are being returned with reason codes 31422 and 31432. However, the Centers for Medicare and Medicaid Services (CMS) gave the contractors permission to turn off the edit until a resolution is found.