denial

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    Wiki N.C. Mediciad Denial for preventive visits on children

    We just recently went to ECW and we cannot get reimbursed for preventive care visits on children. We are using the EP modifier with the CPt codes. our denial reason states attending provider not eligible on service dates. and B7=This provider was not certified/eligible to be paid for this...
  2. M

    Wiki Medicare denial for 88305 and 88342

    I got denial for 88305 and 88342 from Medicare. According to remittance advice modifier(S) was missing. Do I need to apply modifier 59 to 88305? I am confused I did not know that any modifier needed for those codes.
  3. D

    Wiki 73564 denial

    hi I am new to orthopedic and I keep getting a denial for 73564 RT with diagnosis S80.01XA indicating diagnosis inconsistent with procedure, any advice would help, thank you Laura
  4. S

    Wiki HUMANA denial for J02.9 not allowed as primary

    We just received a denial from Humana insurance stating that J02.9 is an invalid primary dx code. I do not see any specific guidelines for that code saying it cant be primary. Can someone please let me know if they are having trouble with this also. Thank you
    • ssharp
    • Thread
    • code denial humana j02.9 primary
    • Replies: 1
    • Forum: Pediatrics
  5. D

    Wiki TSH denials from medicare

    Hello! I work for a neurologist who regularly orders thyroid stim hormone assays (CPT 84443) in conjunction with other tests to check for Peripheral neuropathy after a trans ischemic attack or a stroke. The tests that come back abnormal are being paid, but we have 3 that came back normal that...
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