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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
- 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)
- Wiki Aetna denying G2212 stating this is an add on code - AAPC
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 are always performed with a primary procedure
- Wiki CPT 81003 inclusvie denieal from Aetna. - AAPC
Aetna insurance frequently denying CPT 81003 or 81002 charges as inclusive with E M service (99201-99395) Initially I tried with modifier “25” to E M, after that I even tried with an appeal, but no use, it denied as inclusive again In this case I need clarification that, is there any payer policy in Aetna website regarding this
- Wiki Aetna Medicare Denials LCD for office visit 99213 - AAPC
We have googled and this is the first mention of this issue that we have seen since this has happen Our timing shows this started after 10 13 2022 because claims with an office visit were being paid by Aetna Medicare before 10 13 2022 And all Aetna Medicare claims with an office visit code are still pending as well as the appeal form I faxed
- Wiki aetna denials on wax removal - AAPC
Sometimes it gets denied but then will go through after appending the 59-mod to it If the corrected claim gets denied, then I submit an appeal with medical records; but lately even with the appeal it's been getting denied It's a hit or miss If all else fails, I call Aetna directly and have them send it back to be reviewed
- 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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