Slraheb
Guest
Hi,
My provider billed a 99205 with a 99417 and Blue Cross paid the 99205 but denied the 99417 stating "V74 Clinical edits applied on this service. Payment is included in another charge" The provider did spend the extra time and I did send notes in showing this but they denied it again for the same reason. Anyone come across this and how did you appeal this? Your help would be greatly appreciated
My provider billed a 99205 with a 99417 and Blue Cross paid the 99205 but denied the 99417 stating "V74 Clinical edits applied on this service. Payment is included in another charge" The provider did spend the extra time and I did send notes in showing this but they denied it again for the same reason. Anyone come across this and how did you appeal this? Your help would be greatly appreciated