humana medicare

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    Wiki G0296 Humana Primary Dx Z87.891

    Hello everyone, Looking for guidance for one of my coders. We are billing G0296 CT Low Dose Lung Counseling to Humana Choice Medicare. We attached Dx: Z87.891 to this code. Humana has denied this code stating payment is not allowed for this service because the diagnosis billed is not valid as a...
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    Wiki 86800 - Humana diagnosis denials - Need help!

    Hi everyone, Is anyone facing the diagnosis denials for your practices for the CPT - 86800 from Humana, Humana Medicare? We have been submitting claims with the E03.9 - Hypothyroidism, unspecified How to resolve these?Any suggestions.
    • vidraj
    • Thread
    • cpt 86800 e03.9 humana medicare
    • Replies: 6
    • Forum: Rheumatology
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    Wiki Billing with Humana Medicare

    GYN Office in Kentucky. In the last few months, we have gotten denials back from Humana Medicare saying that pt’s policy allow only 1 preventive appt per year. Pts say they had seen their PCP for a checkup before seeing us. We think that their PCPs are using 99397 for their wellness visit and...
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