Question 99354

[Mhbc]

My provider is lcsw and she has sessions with her patients for 1.5 and I billed the 90837 with the 99354 and the claim got denied. Please explain what I need to do to get this to be approved. Let's start with BC.

 

[trarut]

Please provide the denial and remark codes from the insurance denial; otherwise, anyone who tries to help is simply guessing.

 

[nlynn112211]

I am also having issues with denials for 90837. We always bill with modifier AJ and a lot of the denials mention incorrect/invalid/missing modifier or it will deny as non-covered. This specific example is from Anthem BCBS commercial plans and Anthem Medicaid plans. There is no other modifier to use that we know of and one is required. Does anyone else have this issue?