Wiki 90658 Blue advantage

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lasonya

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Can someone please clarify what the approriate diagnosis code is to bill with 90658 when billing to blue advantage. We are getting a rejection from BCBS and according to the rep as of 12/31/2010 you can no longer bill 90658 with V04.81. Is anyone else aware of this? Thanks
 
lasonya said:
Can someone please clarify what the approriate diagnosis code is to bill with 90658 when billing to blue advantage. We are getting a rejection from BCBS and according to the rep as of 12/31/2010 you can no longer bill 90658 with V04.81. Is anyone else aware of this? Thanks
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They need to check again! Just checked Encoder Pro and the only dx codes listed as appropriate with this code are V04.81 and V04.89!
 
lasonya said:
Can someone please clarify what the approriate diagnosis code is to bill with 90658 when billing to blue advantage. We are getting a rejection from BCBS and according to the rep as of 12/31/2010 you can no longer bill 90658 with V04.81. Is anyone else aware of this? Thanks
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You bill the one documented by the provider for that patient for that encounter. Always!
 
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