Wiki TriCare denies 99402 Clinical Preventive Services

[Marcia Cox]

Our office was denied payment for 99402 for a TriCare patient. Denial was that this is a non-covered service but the most current update of the TriCare Manual 6010.60-M section 2.1 and 2.2 state clinical preventive services are covered with no cost sharing and 99402 is listed as an allowable code.
Any ideas? Thoughts?
Thank you,
Marcia Cox

 

[michellepilcher]

Which diagnosis are you using for the service? The code is only covered under certain dx codes per the manual.