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Fee-for-service reprocessing of neonatal and pediatric intensive care service professional claims planned for week of September 12, 2022
Effective date
Sep 13, 2022
Identified
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.
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What to do
Action · 3 steps
01No action required.
02Billing 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).
03These are positive adjustments increasing previous payments.
Codes mentioned
99468994699947099471994729947399474994759947699477994789947999480
Original notice
Fee-for-service reprocessing of neonatal and pediatric intensive care service professional claims planned for week of September 12, 2022
oregon.gov · Always check the source before changing claims.
Related changes
See all Oregon Health Plan changes →Fee-for-service rate increase for neonatal and pediatric intensive care professional servicesHighEffective Jan 1, 2022 · ProviderOHP coverage of home blood pressure monitoring services during the COVID-19 emergencyLowEffective Sep 3, 2020 · PlanOHP coverage of home blood pressure monitoring services during the COVID-19 emergencyMediumEffective Sep 3, 2020 · PlanBrowse every Oregon Health Plan change in the policy list