empire bcbs

  1. P

    CPT 52441 + 52442 BCBS

    Has anyone received reimbursement for cpt 52441+52441. We have been billing this procedure and it keeps getting denied as investigation/not medically necessary. This is for BCBS in the state of NY. Has anyone else been having issues? If so please provide any guidance. Thank you.
  2. J

    EMPIRE BCBS Emergency Rule OutOfNetwork

    :cool: Ok, I will start by asking the following question: I have a surgeon who did a surgery on an emergency basis on a patient who came in through the edt department of a hospital. He reported his services. He is an out of network provider with Empire. Empire decides to pay him in-network...