treinemer
Networker
We routinely get paps with an incoming dx of V13.22 Personal history of Cervical Displasia. Pts have previous dx of 795.00-04 that were paid but the V13.22 are being denied as not medically necessary.
So far Medicare, Premera, and United Health Care are denying these codes. Just checking if this is something new, or if someone is aware of guideline changes that I have not seen???
As an asside we are also seeing denials now from many carriers for the CT/NG (87491/87591) unless they are positive results. Frustrating because you can't see if they are positive without testing but the patient has to pay if it's a neg result.
Patients are not amused in any case![Roll eyes :rolleyes: :rolleyes:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
So far Medicare, Premera, and United Health Care are denying these codes. Just checking if this is something new, or if someone is aware of guideline changes that I have not seen???
As an asside we are also seeing denials now from many carriers for the CT/NG (87491/87591) unless they are positive results. Frustrating because you can't see if they are positive without testing but the patient has to pay if it's a neg result.
Patients are not amused in any case