Wiki CPT 88305 has been denied

[Olena1988]

we started having issues with BCBS denying CPT 88305. As per checking, CPT 88305 has been EXCLUDED from BCBS guideline. Not sure why I can not attach the guideline. but it shows that eff 02/1/2023 88305 is excluded from it. Has anyone else experienced the same problem ? We were never informed by BCBS about this major changes/

 

[sls314]

Which BCBS?

 

[Olena1988]

Which BCBS?

Most likely New York state, HMO and PPO. But I have found out that it is random denial, so hard to come up with chronology or exact plan.

 

[detesler]

Hi

 

[Olena1988]