• 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..

anyone else getting denials on cast supplies?

M

michellelgrd

Networker
Messages
84
Location
Laplace, LA
according to united health care as of 12/17/09 code a4580 and a4590 were added to their list of dme exclusions i havent checked yet but am guessing humana is doing the same anyone else having issues with this?
 
michellelgrd said:
according to united health care as of 12/17/09 code a4580 and a4590 were added to their list of dme exclusions i havent checked yet but am guessing humana is doing the same anyone else having issues with this?
Click to expand...
Hi Michelle,
We use specific cast supply codes--Q40xx--and are getting paid. Since there are so many of them and they depend on type--plaster, fiberglass, etc--we developed a cheat sheet based on age of patient and cast or splint. We then had our doctors tell us how many rolls of fiberglass are used for each type. Saves us lots of time.
 
I work for orthopedic and I bill cast every day for almost every patient. Have never had problems with cast supplies. I bill UHC, HUMANA, Aetna, CIGNA, etc. It seems like you just need to start billing specific codes like Q4038,
Q4037 (fiberglass; plaster)
 
You must log in or register to reply here.
Top