Wiki 52000 & 51610

[KaylaRieken]

I billed 52000 and 51610.51. I got denied the 52000 saying it is considered to be part of the payment for another service on the same day. Patient has Aetna insurance. I looked it up in the CCI edits, and it doesn't state that it is bundled. Any advice?

 

[liqgold2@aol.com]

Appeal to Aetna with your CCI edits showing there is no bundling, but this bundling edit may be particular to Aetna. Under these circumstances appeals are often denied.