Wiki Aetna's Denial of 17110 and E&M

jholt12

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Clovis, CA
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Hello,
Is anyone else getting denials from Aetna stating that there is an E&M component in 17110 and therefore the office visit is now denied? This is super frustrating. I have appealed with the notes stating that there is clearly separate identifiable procedure and have billed with a modifier 25. My notes show other diagnoses with prescriptions, counseling, and what not done and still received denials. Just curious if anyone is having this same problem and if they had any luck in getting the appeal paid.
Thank you
 
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