In September, we created an edit to be compliant with a new CMS rule. We learned the edit was causing evaluation and management CPT codes to deny, when billed by naturopaths. We further recognized that in Idaho and Montana, naturopaths have specific state rules or laws that do not allow for these denials.

Up until March 1st , the CO-OP was pending claims for Naturopaths to override the denial.

The system has now been updated to override the edit for Naturopaths if they include the Provider Naturopath Taxonomy Code and proper qualifier on the CMS 1500 claim form.

Claims must be submitted with the Naturopath Taxonomy Code listed as follows or the claim will be denied:

• in the shaded area of box 24J
• the qualifier
• “ZZ” in box 24i
• both the qualifier “ZZ” and the Taxonomy Code in box 33b