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Wiki BCBS Denying Pathology Claims

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macyoverstreet

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Winterville, NC
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Has anyone been having issues with BCBS denying pathology claims since maybe June/July of 2024? We have denials and all they can say is since Avalon take over there are new guidelines- things such as k29.50, k21.00, and k22.89 cannot be coded together. Or k22.2 and k21.9 cannot be coded together. However, I know these codes do not coincide together and we are not having issues with any other payers. Just curious as to exactly what they are wanting/how too fix this issue. Thanks!
 
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