Wiki Medicare denial 93016 and 93018

[mcgraws]

Can someone help with a Medicare denial. They paid the 78452-26 but are denying 93016 and 93018 as experimental. Did I bill correctly and if not what are your suggestions?

Thank you,

Tonya

 

[634sg4fs65g4fg]

We are finding that if billed with office or hospital visit the two are being denied for being a part of the H&P, inclusive of the visit. If justified, we have been modifying the E&M visit and refiling. Good luck!