Wiki Allergy Testing 95024 vs. 95027

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vramirez

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does anyone know if we can bill 95024 to BCBS & Medicare when in reality we performed 95027? In the past 95027 will be denied as a non-covered service yet the 95024 will be considered and immunotherapy is also a covered benefit.
 
NO - You should code what is documented

The benefits do not drive the coding. The documentation drives the coding.

Physicians should document what they do. Coders should code what was documented.

If it's not a covered benefit, patient will be responsible.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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