Citadelle18
New
Background: Primary insurance allowed G9012 to be billed for Case Management, but secondary insurance doesn't because the service is considered a bundle for CPT code 97151. The claim with code G9012 was applied to member's deductible who has a Medicaid as a secondary. As a biller, will it be appropriate to change/edit the bill code so we can get reimbursement from the secondary insurance.