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- aetna | Medical Billing and Coding Forum - AAPC
Aetna breast cancer patient had delayed reconstruction so the doctor inserted bilateral implants I coded 19342 with modifier 50 and aetna only paid for one side, do i need to bill with rt and lt modifiers to receive proper reimbursement?
- Telehealth 2025: The Final Rule - AAPC Knowledge Center
Medicare reinstates certain pre-pandemic telehealth policies COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final word for telehealth services effective Jan 1, 2025, unless Congress acts
- CPT® Code 64454 - AAPC
The Current Procedural Terminology (CPT ®) code 64454 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves
- Wiki - 76830 and 76856 | Medical Billing and Coding Forum - AAPC
The insurance I am having an issue with is Aetna They are inconsistent however always bundle one into the other and only pay for one-sometimes the transvag and sometimes the pelvic ultrasound When a 59 is appended to the bundled code (which goes against coding guidelines) the once-bundles denied code is paid
- Wiki - 36415 denials | Medical Billing and Coding Forum - AAPC
My claims for Cigna and Aetna are being denied for the 36415 when performed with an office visit the lab bills the lab tests, we bill the venipuncture Is anyone out there getting paid for the 36415 for these insurance companies?
- Wiki - Billing Radiation Therapy Codes 77301 and 77014
Aetna 77387 reimbursement rate We had the same issues with Aetna not accepting 77014 After appeals and disputes with provider representatives and medical directors, Aetna refused to accept 77014 The reimbursement for 77387 is significantly less than 77014, therefore, we came to an agreement to bill 77387, and Aetna agreed to reimburse 77387 with a rate comparable to 77014 An amendment was
- Aetna E M Policy | Medical Billing and Coding Forum - AAPC
Now, I couldn't find Aetna's E M policy, but I would be very surprised if they decided to deviate too much on that sense Possible reasons for the denial: -The patient was seen by the same provider at a previous practice, within 3 years -The patient was seen by a similar credentialed provider from the same practice (fairly common denial reason)
- Bill G2211 With Confidence (and Modifier 25) - AAPC
Providers and patients both reap the benefits when this add-on code is used correctly HCPCS Level II add-on code G2211 recognizes the ongoing Providers and patients both reap the benefits when this add-on code is used correctly
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