Medicare: Drug Claims Rejected in Error

Medicare systems are rejecting claims for drug HCPCS codes — J0897, J3111, and J3590 — in error if the drugs are for treatment of conditions other than osteoporosis in the home health setting. The claims are rejected with Fiscal Intermediary Shared System reason code 32453.

Over the several weeks, Medicare Administrative Contractors will correct the error and reprocess these claims. You don’t need to take any action.

Source: https://www.cms.gov/outreach-and-educationoutreachffsprovpartprogprovider-partnership-email-archive/2021-01-28-mlnc