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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? Bcbs pays with modifier 50 We don't have many aetna
- 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 and G2211 | Medical Billing and Coding Forum - AAPC
I was also researching as the big commercial insurances have and or are in the process of adding policies specific to G2211 - Here is what I located from Aetna- Hope this helps
- 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)
- Billing Medicare for Telehealth Services in 2024 - AAPC
Through Dec 31, 2024, there are no geographic restrictions for patients or providers For Medicare, use the place of service code that identifies where the patient is located: POS 02 when the patient is not at home or POS 10 if the telehealth is provided in the patient’s home
- Billing for NP practice | Medical Billing and Coding Forum - AAPC
Because AETNA does not crendential NP any claims submitted by an NP to AETNA would be denied If the NP sees an AETNA patient, the visit can be billed under the Physician NPI number, however, the physician will need to co-sign the notes In this case the physician would have to examined the patient and agreed with the NPs findings
- Wiki - 76830 and 76856 | Medical Billing and Coding Forum - AAPC
per Encoder these 2 codes are not bundled The report combines the findings into one but is clearly two approaches 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
- CPT® Code 64454 - AAPC
CPT Code 64454, Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System, Introduction Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves - Codify by AAPC
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