Wiki PLEASE HELP!! UREA BREATH TEST - 78267 & 78268

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CBarry21

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Port Orange, FL
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Our office keeps getting these claims denied. They are being denied for not supported, medical records do not support the Urea breath test. I just took over billing in this office and I am trying to get down to the bottom of this. Does anyone have any advice on why the insurance companies will not pay for this test? What I need to appeal these claims and get them paid. ANY help is much appreciated. It is being denied from multiple insurance companies.
 
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Hi what is the Primary DX you are using ? Some plans in some states do not consider B96.81 by itself or as Primary, a valid DX for CPT 78267, 78268. You can try using A04.8 or R10.13 or K21.9 along with it.
 
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