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north carolina

  1. letootz

    Wiki 45380-33 denying as frequency with 45385-59

    BCBS NC is denying the biopsy for max benefit, but the patient was seen for a colonoscopy screen that included the biopsy and polyp removal done on multiple sites. The biopsy was performed to confirm colon cancer, but I'm confused how they can both be billed out as they're both colonoscopies...
    • letootz
    • Thread
    • bluecrossblueshield north carolina screening colonoscopy
    • Replies: 3
    • Forum: Gastroenterology
  2. E

    Wiki NC Medicare

    We have a CRNA group who performs anesthesia services (non medically directed) for Vascular and Renal patients in a North Carolina facility. The facility is a "Physician Office". (POS 11). Medicare (Palmetta GBA) is denying claims based on "procedure code / bill type inconsistent with POS"...
    • enancy79
    • Thread
    • anesthesia crna north carolina pos 11
    • Replies: 0
    • Forum: Anesthesia
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