Wiki Billing annual Pap along with removal of skin tag and comedo

Sanders2011

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Hello I have a question regarding billing out an annual pap smear along with skin tag removal and acne suregery (comedo) and a regular office visit all in the same day. The patient was recently seen in our office for her annual pap which I billed out the preventative for her age, then she was also seen for skin tags that were removed and comedo that was removed and also seen for hypertension this is how I coded it 99396-24 for pap, 81002 for the urine, 99213-25 for hypertension, 17110 for skin tag removal, and 10040-59 for comedo removal. Insurance denied the pap 99396 stating it was a global charge the skin tag removal 17110 as services are not appropriate to the dx which is 70219, they paid the 99213, and the 10040 they applied it to the patient's deductible, and the paid the 81002. To me this was way to much to be going on in one visit that was only scheduled for an annual pap smear. Can someone help me with this and tell me what I did incorrectly, and the correct way I should that done it?:confused:
 
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