• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Allergy Testing 95024 vs. 95027

V

vramirez

Guest
Messages
25
does anyone know if we can bill 95024 to BCBS & Medicare when in reality we performed 95027? In the past 95027 will be denied as a non-covered service yet the 95024 will be considered and immunotherapy is also a covered benefit.
 
NO - You should code what is documented

The benefits do not drive the coding. The documentation drives the coding.

Physicians should document what they do. Coders should code what was documented.

If it's not a covered benefit, patient will be responsible.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
You must log in or register to reply here.
Top