Sorry has been a while since I actually had to "code" code. One of our billing specialists has come to me a peds question:
"...included cpt 99392 in with 99212, I had appealed this as there was enough evidence to support both charges. They are still denying this cpt as the documents do not support this service because it indicates a problem visit. Any idea why?"
I was figuring the 99392 should've been billed & no need to address the problem-focused visit 99212 since it was addressed during the preventative.
Feedback?
"...included cpt 99392 in with 99212, I had appealed this as there was enough evidence to support both charges. They are still denying this cpt as the documents do not support this service because it indicates a problem visit. Any idea why?"
I was figuring the 99392 should've been billed & no need to address the problem-focused visit 99212 since it was addressed during the preventative.
Feedback?