bcbs denials

  1. P

    Wiki 11400 and 11402 denials

    BCBS denied the following codes billed from POS dermatologist's office for excision benign lesion 0.5 inches on established pt's back (80 y.o. male): 1) DOS I0/10/2023 ICD-10 L728, L570 CPT 99213 -25 CPT 11402 2) Same pt, provider, POS, excision benign lesion 0.2 inches on...
    • Plaw4444
    • Thread
    • 11400 11402 bcbs denials dermatology l570 l728
    • Replies: 2
    • Forum: Dermatology
  2. P

    Wiki CPT 33285

    Can someone please offer some knowledge on this cpt code. 33285. (This is for Professional claims) NY state(NYC) We have been billing Empire BCBS( Mainly mediblue) for this service both inpatient and outpatient. Under BCBS policy the dx that we have been billing Z86.73 or R55 are allowed per...
    • PatriciaR
    • Thread
    • bcbs bcbs denials billing cardiology
    • Replies: 1
    • Forum: Cardiology
  3. T

    Wiki DEXA Denials from BCBS MI

    Hello, we are getting a TON of denials from our home plan BCBS here in MI when we bill the DEXAs (77080-77085). Per ICD-10 the screening code needs to be listed 1st and then the reason for the screening and then any findings. This is how we code. Example: PT is a 74 year old post menopausal...
  4. A

    Wiki BCBS of Texas Annual Exam Denials

    Is anyone else seeing an increase in Annual Exam denials when using modifier -25 showing separate and distinctive performed the same day. They pick and choose which ones they want to pay and then we have to appeal the rest. Sometimes we win, and sometimes we lose and then have to speak...
  5. J

    Wiki Lab Services

    Does anyone in a Family Practice setting preform lab services? Do you draw the patient's blood and send it out to a particular lab to be tested & resulted to your office? If, you do my next question is are you getting paid for your services by BCBS of NC?
  6. W

    Wiki Coding E & M For Dentists And Separate Code For Screenings Ordered By DDS/DMD

    So, as far as I know there is NO certification program for DENTAL procedure coding to MEDICAL insurance plans. I've been a dental practice management consultant for 17 years now and in the past few years have tackled billing certain services to patients' medical plans. I'm having success, but...
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