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quest

  1. J

    Wiki Payable Diagnoses

    Hi all! A friend who works for a nephrology office in NY has asked for my help looking for coverable diagnoses for some labs her doctor routinely orders. They're finding that these labs are getting denied when they're done by Quest, for patients with Medicare. I've looked for LCDs and NCDs on...
  2. C

    Wiki HMSA QUEST denies all CCM Codes

    Claims under HMSA Quest with CPT codes 99490 and 99439 have been denied, despite these codes being listed in both the Medicaid Fee Schedule and the HMSA Quest Physician Fee Schedules. Other Medicaid contracted payers, such as Alohacare Quest, Ohana Quest, and UHC Quest, reimburse these codes...
  3. C

    Wiki 99490 Quest Denials

    Hello! Our clinic recently began offering Chronic Care Management (CCM) services starting in February this year. Overall, things are going well, but we're encountering a recurring issue with quest denials for code 99490. The reason provided is: "234: This procedure is not paid separately. At...
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