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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?
- 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
- 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)
- 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
- Aetna denying 99214-93 for audio visit only - AAPC
Hello! Aetna has been denying our telehealth visits billed with modifier 93 when the video connection fails and the visit is completed as audio-only (99214-93) I called and spoke with a representative who confirmed that Aetna is no longer accepting modifier 93 He advised us to use modifier 95
- Aetna denying 96132 and 96136 when billed with 99215 - AAPC
Aetna insurance denied CPT codes 96132 and 96136, but paid 99215 They were billed as: 99215 96132 -59 96136 -59 DX: F84 0, F80 9, F82, F88 Per CCI edit modifier 59 can be billed with these codes Aetna is stating that these codes are not supported by modifier 59 We are pediatric neurologist
- Wiki - Aetna denying G2212 stating this is an add on code
We billed 99215 and G2212 (Prolonged out patient office visit) to Aetna (since provider spent more than 55 minutes) but they paid for 99215 and denied G2212 stating "This claim is being denied for one of two reasons: - We did not receive a claim for the primary service performed Add-on codes
- Aetna denials for 59425 and 59426 - want # of units - AAPC
Wiki Aetna denials for 59425 and 59426 - want # of units - denying 1 unit- and want all dates on claim?
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