Wiki Corrected claim vs appeal

[TJAlexander]

Urgent care facility treated a 30 year old woman for an allergic reaction as Idiopathic Uticaria (L50.1) using dexamethasone. The physician billed the visit as a level 4 for new patient. The claim was submitted as follows:

99204-25
96372-59
J1100(10)

UHC denied 99204 as CO-234: this procedure is not paid separately.

After reviewing the notes, I'm undecided if I should should submit a corrected claim as follows:

99203-25; since the steroid shot is not due to injury it should be included in the visit, correct?

OR:

Should I submit an appeal?

 

[danskangel313]

Out of curiosity, why was 96372 billed with a 59? Was there another procedure done? If not, that may be the problem.