You Be the Coder:
Careful Which Code You Submit as Primary
Published on Tue Jul 23, 2019
Question: We billed CPT® codes 58552 and 49322-59 because of additional documentation from the provider. BCBS only paid on the 49322 procedure and denied 58552 with the reason “charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement.” Can you offer any advice on the best way to handle the appeal for this? North Carolina Subscriber Answer: This is a weird [...]