jessica1974
Guru
We are having trouble gettting BCBS to pay stent codes where 2 vessels are concerned. For instance if we do a stent to the LAD and a stent to the LC they are denying the second one as a duplicate. I have been working with our provider rep here in WV. We actually have Highmark BCBS. They are trying to say that we should be billing the add-on code of 92929. But I disagree with that because CPT states that it is an additional branch off of the main branch (paraphrasing that). I am trying to explain to them that there isn't even a montary value on 92929 according to the MFS. I know that as a commerical carrier they set their own fee schedule. Just wondering if anyone else is having this issue. If so how did you get it resolved? And should I be billing it the way they advise?
Thanks for any advice.
Thanks for any advice.