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OA Rejections

CHAMPVA-HAC (84146) - CPT 90791 (FE459)

Rejection

Payer Specific Rejection: Payer no longer accepts CPT code 90791 electronically. Please contact the payer to verify which code to send or send the claim by paper. (FE459)

What happened

CPT code 90791 that is no longer a mental health code and it is now a medical code. CHAMPVA-HAC needs the doctor's credentials in order to process medical claims and they don't accept credentials electronically.

Resolution

Need to verify which code to send or send the claim by paper.