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rejection

  1. E

    Wiki Adjustment Reason Code 107

    I am so confused on what this ARC means. This was sent back to me by Blue Care Network (part of BCBS of MI)... I billed a TCM (99496) and Medication Reconciliation (1111F). The claim was processed without payment due the following: CO-107: The related or qualifying claim/service was not...
  2. L

    Wiki 93000 - EKG denial

    I'm getting rejection from Medicare, UHC for EKG code 93000 even when submitted with payable dx. The denial code is M80: Not covered when performed during the same session/date as a previously processed service for the patient. Is the any new NCCI for this code, 93000, if so, where I can find...
  3. M

    Wiki 58301 IUD removal rejection

    Hi, everyone, good afternoon, does anyone knows why :confused: 58301 is the only code for IUD removal, am I right? Wellcare rejected 99213(25)+N92.5---paid 58301+Z30.432---rejected, N657 This should be billed with the appropriate code for these services. Any help and knowledge is...
  4. J

    Wiki Peachstate(GA) rejection M81

    Hello, Can somebody please help me on resolving this rejection? I have Peach State claims that CPT 99213/76856 are rejecting with M81 saying "not otherwise classified" or "unlisted" procedure code was billed when there is a specific procedure code for this procedure/service. I have no problem...
  5. N

    Wiki can you bill ER facility side

    If a 2yr old comes and has fentanyl intranasal administered do you charge 99283 with 99143 ? if so do you apply a modifier -25 to the EM? I am getting a rejection. thank you
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