treinemer
Networker
I have an inpatient that Aetna is denying the 99223 that the Hospitalist charged for the admit because the patient had surgery that morning by a general surgeon (43830). They paid the 43830 but are denying the 99223 unless it has a modifier on it.
I am confused because they are different specialties 99223 shouldn't need a modifier but am being told by my follow up person that Aetna has it's own edits. HELP![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
I am confused because they are different specialties 99223 shouldn't need a modifier but am being told by my follow up person that Aetna has it's own edits. HELP