I just posted this question to local forum and reposting it here with hopes of any input;
We are getting denials from Aetna for 76856 Pelvic ultrasound - trans-abdominal when billing with 76830 ultrasound trans-vaginal. Non-ob scenario.
There are no CCI edits for this pair of codes.
Aetna states that 76856 is incidental to the other procedure.
Is this correct? Does anyone have the same issue? And if so how is it handled. Any input is greatly appreciated.
Thank you;
We are getting denials from Aetna for 76856 Pelvic ultrasound - trans-abdominal when billing with 76830 ultrasound trans-vaginal. Non-ob scenario.
There are no CCI edits for this pair of codes.
Aetna states that 76856 is incidental to the other procedure.
Is this correct? Does anyone have the same issue? And if so how is it handled. Any input is greatly appreciated.
Thank you;