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------ NOTE: THIS ALERT IS AN UPDATE TO THE ALERT DATED NOVEMBER
5, 2021 ------
TO: All Providers
RE: Coming Soon: Upcoming Changes to CARC Code 45
Changes described
in the ALERT dated November 5, 2021, regarding the replacement of Claim
Adjustment Reason Code (CARC) Code 45 with CARC
Code (96) will not be implemented. Gainwell verified CARC Code 45 still
conforms to the Payment & Remittance Uniform Use of CARCs and
RARCs (835) Rule.
As a result, Alabama Medicaid will continue using CARC Code 45 to indicate pricing
adjustments to payments due to fee schedules/allowed amounts.
Providers with questions concerning the upcoming change can email interChange_testing@DXC.com.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2021
American Medical Association
and © 2021 American Dental Association (or such other date publication of CPT and
CDT). All rights reserved. Applicable FARS/DFARS apply.