We request the following documentation be submitted with the initial claim submission for the T codes linked below.
History and physical examination
Lab/Diagnostic test results, if applicable
Progress or office notes for the service performed
Operative or procedure report, if applicable
Full text peer reviewed articles
Society guidelines
Any additional documentation that supports the need for the service
Effective February 26, 2024, when records are not submitted to support the code billed, the service will be rejected. The claim must then be resubmitted with the appropriate information.
CPT category III T codes
Avoid negative impacts to your claims by providing the medical records with your claim submission for the T codes linked above. Please consult this list frequently as Novitas anticipates this to be a temporary situation.
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