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Wiki BCBS Denying WWE exam code??

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karakayes

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Hey there! Looking for suggestions... BCBS is denying a wwe visit with the code 99395. I have never billed a wwe any other way (except for a new pt).
They have said that it is a medical code not a wellness visit?? The only other codes I see for wellness type exams are the G codes for medicare which doesn't apply.
Any suggestions?? I am at loss! 14yrs OB coding...never ran into this!
 
The G0101 and the Q0091 which Medicare accepts for Well Woman are also carrier discretion allowed. You will find numerous commercial carriers that do accept/require these codes for Well woman exams for their non-Medicare patients.
 
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