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coding issue

  1. G

    Wiki Kyphoplasty and Medicare

    We have recently received a Medicare denial for a claim billed out for Kyphoplasty. 22513 x 1 22514 x 1 CCI edit states the family of codes (22513-22515) should only list "One" as the primary code and list the other as add on procedure for the additional level, which we normally do when done...
  2. B

    Wiki Not medically necessary

    I am really having trouble in determining as to why most of the insurance denies Autonomic Nerve system Test & heart rate (95923, 95943) for not being medically necessary while the DX I've billed does support the services billed. These codes being billed with a Diagnosis code G60.8. I tried...
  3. B

    Wiki Bundling Issue

    Hi all, I am getting a rejection from Veteran regarding procedure 29405, 29700, these being denied being bundled. I am just wondering if one can bill Application of leg cast and removal of leg cast at the same time. I would appreciate your help on this. thanks!!
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