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HI
Anthem Blue Cross is denying 99464 ( attendance at delivery) when billed with 99460 (initial hospital;/birthing center care).
CPT books says both can be billed. This was for a repeat C-section and the hospital policy is the pediatrician be in the room for C-section.
This is a personal bill and I am trying to appeal. What is the best way to approach? I am requesting medical records definitely. THe insurance goes back and forth with either it's an "exclusion" of my plan, "non covered"service and then that it can't be the same pediatrician for both services?
Is it common for groups to bill both?
Thanks
Anthem Blue Cross is denying 99464 ( attendance at delivery) when billed with 99460 (initial hospital;/birthing center care).
CPT books says both can be billed. This was for a repeat C-section and the hospital policy is the pediatrician be in the room for C-section.
This is a personal bill and I am trying to appeal. What is the best way to approach? I am requesting medical records definitely. THe insurance goes back and forth with either it's an "exclusion" of my plan, "non covered"service and then that it can't be the same pediatrician for both services?
Is it common for groups to bill both?
Thanks