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Pennsylvania Medicaid (DHS)Medicaid · Billing Codes · Provider Bulletin · PAMedium impact

Microsoft Word - 11-7-05.doc

Act
by Dec 1, 2005
Effective date
Dec 1, 2005
Identified
Jun 20, 2026

Summary

Pennsylvania Medicaid is replacing local procedure code W0500 with national procedure codes for provider mileage billing effective December 1, 2005. This change is required for HIPAA compliance and affects all providers who bill for mileage related to service provision.

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What to do

by Dec 1, 2005 · 4 steps
01Billing team must stop using local procedure code W0500 for provider mileage claims.
02Reference the attached crosswalk spreadsheet to identify the correct national procedure code replacement.
03Update billing system to use national codes for all services rendered on or after December 1, 2005.
04Continue using W0500 only for services rendered on or before November 30, 2005.
If missed: Failure to use appropriate national procedure codes will result in inappropriate claim payment or claim denial.

Codes mentioned

W0500

Original notice

Microsoft Word - 11-7-05.doc
pa.gov · Always check the source before changing claims.
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