Question Amerigroup and high risk DX

sphilbert

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Hi....we're (NJ providers) billing for spontaneous delivery before 39 weeks with O75.82 or O80 and Amerigroup is denying our claims as needing a high risk DX code. These patients have no complications, high risk factors, etc. Is anyone else having this issue and how do you get your claims paid. Help!!! Thank you.
 
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