MedicaidReimbursementLow impact
Fee-for-service reprocessing of neonatal and pediatric intensive care service professional claims planned for week of September 12, 2022
Oregon Health Plan·OR · Pediatrics, Critical Care·Provider
Effective date
Sep 13, 2022
We identified it
Jun 20, 2026
Summary
Oregon Health Authority will automatically reprocess and increase payments for neonatal and pediatric intensive care claims (CPT codes 99468-99480) paid between January 1 and August 30, 2022. Providers will see adjustment codes on remittance advices starting September 13, 2022, but no action is required.
Action Required
No action required. Billing team should be aware that remittance advices starting September 13, 2022 will show pricing adjustments for neonatal and pediatric intensive care claims with codes 9920 (paper) or 45 (electronic). These are positive adjustments increasing previous payments.