MedicaidAdministrativeMedium impact
AHCCCS DFSM Claims Clues - July 2015
Arizona Medicaid - AHCCCS·AZ · Orthopedics, Neurosurgery, General Surgery +2 more·Claims & Billing
Effective date
Aug 1, 2015
We identified it
Jun 17, 2026
Summary
AHCCCS updated billing requirements for spine surgery CPT codes to allow office setting (POS 11), corrected FQHC/RHC billing procedures for primary payers, and mandated use of revised NEMT trip reports by August 1, 2015.
Action Required
By August 1, 2015: Billing team must switch to revised AHCCCS NEMT trip report forms - claims with outdated forms will be denied. For FQHC/RHC providers: Update billing procedures to submit void claims (not void/replace) for Medicare crossover corrections, use T1015 coding with appropriate Medicare/other payer amounts. Update billing system to allow CPT codes 22510-22514 in office setting (POS 11).