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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
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?
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
Wiki - BCBS and Aetna bundling 90480 - AAPC BCBS and Aetna are bundling CPT code 90480 (COVID vaccine administration) when billed with COVID vaccine codes 91321 or 91322 AND a flu vaccine (90656) with vaccine admin code 90460 If we bill if we bill 90480 and 91321 (or 22) alone, the 90480 is paid This bundling issue just started in
New Telemedicine Codes for 2025 - AAPC For the Current Procedural Technology (CPT®) 2025 code set, a new Telemedicine Services subsection with 17 new codes has been added to the Evaluation and Management (E M) section These 17 new codes are intended for reporting synchronous (ie, real-time) E M services, with coding options available for both new and established patients This article provides guidance on these new guidelines and
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?
Telehealth: Medicare Policy for CY 2025 - AAPC Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now Now that the dust has settled on the American Relief Act, 2025, Medicare policy for telehealth services is extended through March 31, but then what?
99221-99223 denials | Medical Billing and Coding Forum - AAPC We had a claim for 99222 that was denied by Aetna since another provider had billed for it first We are the attending physician (and was the one who asked for a consult with the other provider) so I appended the modifier -AI, sent in the corrected claim with reconsideration form but they still denied it They are claiming that the code can only be billed once per day I checked again and CMS