• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Flu shots

Create Wiki
C

cakins@eastsideinternalmedicine.com

Guest
Messages
6
Best answers
0
I am having Humana Medicare and Wellcare Medicare denying flu shots based on lcd/ncd. I am using 99213 -25 with appropriate dx code 90682 and G0008 with z23 as dx code. Humana denial reason 04@/96, I have called and called and all they say is denying for lcd/ncd. I can not figure this out. Any experience with this anyone?
 
Was the DOS before 8/1/2020?

Denial code 96 is "non-covered charges" (I don't know what 04@/96 means).

What are the full denial codes and the wording of the codes?
 
I am having this exact same issue and have contacted Medicare and Humana and no one can seem to help me. I have been working on this for months and have resolved absolutely nothing. Have you found out anything as to why this is happening yet?
 
You must log in or register to reply here.
Top