• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

30801 Denial

K

kroy2015

New
Messages
4
Location
West Des Moines, IA
I have received a denial from BCBSIL stating that a 30801 cannot be performed by an ARNP. Has anyone else received anything similar? I know APWU has had the same policy for awhile but this is the first I'm seeing of it from a BCBS plan. Any knowledge about other plans that may deny for a mid-level provider performing this would be awesome as well, as we do this procedure a lot in office.
Thanks!
 
Are you sure that's the correct code for the procedure that was done? I have a hard time imaging that this would be within the scope of practice of an APRN in any state.
 
Yes, 100% sure. We bill it all the time, our DO has the patent for a chemical cauterization technique that uses that code. She (our ARNP) also performs 30802 with no issues as well.
 
You must log in or register to reply here.
Top