Wiki Independence Blue Cross and Observation

maine4me

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Has any one had an issue with IBC paying for observation days when a patient is in for longer than 2 days? These days are being coding using the 99212-99215 series, and IBC is denying them for a referral. I have tried everything incluiding working with our provider rep with no success. We have not been using the 99224 -99225 because until recently these codes were not recognized by IBC.

If you have had this problem were you able to resolve it, and how?
 
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