Wiki BCBS Denying WWE exam code??

[karakayes]

Hey there! Looking for suggestions... BCBS is denying a wwe visit with the code 99395. I have never billed a wwe any other way (except for a new pt).
They have said that it is a medical code not a wellness visit?? The only other codes I see for wellness type exams are the G codes for medicare which doesn't apply.
Any suggestions?? I am at loss! 14yrs OB coding...never ran into this!

 

[mitchellde]

The G0101 and the Q0091 which Medicare accepts for Well Woman are also carrier discretion allowed. You will find numerous commercial carriers that do accept/require these codes for Well woman exams for their non-Medicare patients.