Currently, we have many carriers denying the above CPT codes when billed with the following:
Q0091 when billed with a Preventative Care Visit or an Office Visit.
76830 when billed with 76856
36415 when billed with an Office Visit.
Our clinic follows CCI guidelines and that is defined in our contracts with our payers. Currently, there are no code edits under CCI to prevent the billing of these services with the CPT codes listed above. Yet, we continue to have a tug of war battle with carriers to get these services paid.
What can I do to remedy this situation?
bjp2500
Q0091 when billed with a Preventative Care Visit or an Office Visit.
76830 when billed with 76856
36415 when billed with an Office Visit.
Our clinic follows CCI guidelines and that is defined in our contracts with our payers. Currently, there are no code edits under CCI to prevent the billing of these services with the CPT codes listed above. Yet, we continue to have a tug of war battle with carriers to get these services paid.
What can I do to remedy this situation?
bjp2500
