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lwilsongsi18

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Any one else getting denials for 00811 anesthesia for colonoscopy.. We are now getting denials that this is an unspecified code and denied.
Linda Wilson
Tulsa Ok
 
lwilsongsi18 said:
Any one else getting denials for 00811 anesthesia for colonoscopy.. We are now getting denials that this is an unspecified code and denied.
Linda Wilson
Tulsa Ok
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I would need to know why the colonoscopy was performed, how the case was coded and which insurance was billed in order to provide a response.
 
We have the same issue with BCBS denied 0811 - saying "The provider is billing a not otherwise specified procedure code. The team stops all claims billed with unlisted, not otherwise specified or miscellaneous codes." Not sure if this is processing issue on their end.
We have been using this code for diagnostic colonoscopy and it happens on a sudden. Any help would be appreciated. Thank you !
 
tthyq5 said:
We have the same issue with BCBS denied 0811 - saying "The provider is billing a not otherwise specified procedure code. The team stops all claims billed with unlisted, not otherwise specified or miscellaneous codes." Not sure if this is processing issue on their end.
We have been using this code for diagnostic colonoscopy and it happens on a sudden. Any help would be appreciated. Thank you !
Click to expand...
I would need to know why the procedure was performed and how it was coded.
 
Yes we are having a local plan denying any ASA code that says 'not otherwise specified' which is...a lot of them lol. Seems to be a system issue for our local plan, they are working on fixing it
 
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