Wiki Nutritional counseling billing

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Michelle07131962

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I am receiving denials on billing Highmark Blue Shield. Is there anyone else having this issue or can someone
help me with this issue? I am billing code 97802 for initial visits and 97803 for follow-up sessions.
 
Thank you for responding, much appreciated!
N95 This provider type/provider specialty may not bill this service
CO170 Payment is denied when performed /billed by this type of provider. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present
A5906 Which is a bundling code.
I cannot find any more specific information regarding the remarks or the loop 2110.

We have always billed these two codes, so I am not sure what codes they would be bundled with. We do not and cannot bill E & M codes, as far I know.

Thank you in advance for any help/guidance in this matter.
Michelle
 
We were having a problem with our NPP billing with BS Ca, are these service provided by a dietician? I would check Highmark's policies on providers that require supervision.
 
Michelle07131962 said:
I am receiving denials on billing Highmark Blue Shield. Is there anyone else having this issue or can someone
help me with this issue? I am billing code 97802 for initial visits and 97803 for follow-up sessions.
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Michelle
Ensure a referring provider s name is on claim, add modifier AE to designate dietician,use minutes in documentation and if obesity add the dx blocks of E66 or E63 or R63 or F50 if apply AND related BMI% code. If related to chronic condition I10, E11,or I48 or E88 as examples but should be in documentation. If exercise advice given add the Z72.3 code for that last dx on claim. Alos add Z71.3 if necessary. If telehealth or phone use proper modifier 95 or 93
I hope this data helps you
Lady T
 
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