karenwelsh
Contributor
When coding for VNG's (92540 and 92543x4), is anyone having difficulty getting reimbursed for all four 92543 codes? I'm finding some difficulty with this and appealing the claim does not always work.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki VNG reimbursements
- Thread starter karenwelsh
- Start date
Candice_Fenildo
Guest
Havent had any problems at all. is it a certain payer?
if it is, you might want to contact them.
if it is, you might want to contact them.
karenwelsh
Contributor
No, it's not any certain payer. I've tried billing all 4, 92543 codes w/out modifyers. Sometimes I get paid for all 4, sometimes only 2 or 3 -- same insurance company.
Same thing happens at times if I use 59 modifyers. UHC seems to be the worst, and I've spoken with them about this. The rep stated that all 4 are to be paid, yet I'm having to write letters of appeal after being denied a couple of times.
Modifyers, no modifyers -- doesn't matter.
Same thing happens at times if I use 59 modifyers. UHC seems to be the worst, and I've spoken with them about this. The rep stated that all 4 are to be paid, yet I'm having to write letters of appeal after being denied a couple of times.
Modifyers, no modifyers -- doesn't matter.
gabi05
New
We bill to Medicare and UHC --99243 with 4 units.
Beata
New Britain, CT
Beata
New Britain, CT
Allison McCoy
Guest
- Messages
- 6
- Best answers
- 0
You shouldn't have to use any modifiers. The practitioner is actually doing 4 tests, warm and cold in each ear. 4 units of the code should do it. I would probably just call and have them reprocessed. Maybe try speaking to someone in medical review to figure out what the problem is in their system. We bill UHC here and I haven't gotten any denials for the code.