coop22
Networker
Is anyone experiencing Aetna Denials for Transcatheter Aortic Valve Replacement Codes 33361 due to Services of an Assist Surgeon, Co Surgeon, or Surgical Team are not covered.
Per NCD Guidelines 33361 must always be billed with modifier 62 because a cardiac surgeon and interventional cardiologist must jointly participate in the intra-operative aspects of the procedure. (Denials are coming from Aetna Medicare Advantage and Aetna Medicare
The claims have always been sent Manually and now they are being denied. Appeals stating this information are denied. This has all just started about 6 months ago. Before that Aetna has always paid them.
Any ideas on how to approach this situation? Our physicians are the Cardiac Surgeons in a Private Practice. The cardiologist is part of the facility.
Per NCD Guidelines 33361 must always be billed with modifier 62 because a cardiac surgeon and interventional cardiologist must jointly participate in the intra-operative aspects of the procedure. (Denials are coming from Aetna Medicare Advantage and Aetna Medicare
The claims have always been sent Manually and now they are being denied. Appeals stating this information are denied. This has all just started about 6 months ago. Before that Aetna has always paid them.
Any ideas on how to approach this situation? Our physicians are the Cardiac Surgeons in a Private Practice. The cardiologist is part of the facility.