New update at Rhode Island Blue Cross/ Blue shield states "If a matching dx to the procedure is found ANYWHERE on the claim (any position), or on the history claim (any position)
E&M will deny because appropriate use of modifier 25 states its significant and separately identifiable service." All office visits now get denied if put with a flow rate or bvi or cysto, even
if different dx appear. I have appealed several claims and have gotten the same form letter. Any one else in RI having this problem?
E&M will deny because appropriate use of modifier 25 states its significant and separately identifiable service." All office visits now get denied if put with a flow rate or bvi or cysto, even
if different dx appear. I have appealed several claims and have gotten the same form letter. Any one else in RI having this problem?