NIVazquez
New
Good Morning,
I need your help
I received a denial from Humana with this remark description: This service is not allowed because the diagnosis code(s) are inappropriately coded. The line item denied is cpt 99213 with 25 Mod and dx G56.02, G56.01 and M65.4.
We have billed more line items but this is the only one denied.
I have read the guidelines and I can't find anything on sequencing regarding these codes.
Any help will be appreciated.
Thanks!
I need your help
I received a denial from Humana with this remark description: This service is not allowed because the diagnosis code(s) are inappropriately coded. The line item denied is cpt 99213 with 25 Mod and dx G56.02, G56.01 and M65.4.
We have billed more line items but this is the only one denied.
I have read the guidelines and I can't find anything on sequencing regarding these codes.
Any help will be appreciated.
Thanks!