76942 (ultrasound guidance) denied with nerve block

Messages
4
Best answers
0
Hi All,

Ultrasound guidance (76942) is being denied by Oxford when billed with a nerve block code (64413, 64445, etc.). We have tried to appeal saying you need the guidance to ensure precision of the needle however, they are still denying it. :mad:

Anyone run into this problem and found a successful way to appeal?

Thanks,
H
 
Messages
811
Best answers
0
What's the denial reason?

From what I can find, 76942 is only paid if the provider is an "American Institute of Ultrasound in Medicine (AIUM) Accredited General Surgeon" for Oxford.
 
Top