Wiki 96150 being denied

[porteryork]

We are billing 96150 to Medicaid for a Pediatrician. We are pointing it to z13.4 since April, it is being denied due to "these service cannot be billed on this claim form for this provider type listing." Can anyone give me some insight? Thank you

 

[danskangel313]

We are billing 96150 to Medicaid for a Pediatrician. We are pointing it to z13.4 since April, it is being denied due to "these service cannot be billed on this claim form for this provider type listing." Can anyone give me some insight? Thank you

SuperCoder relates code 96150 to clinical psychologists, social workers, etc. I would assume Medicaid for your state does not deem a pediatrician qualified to perform this type of service.

 

[CodingKing]

What assessments are being done. ESPDT? Have you checked the S codes?