Wiki billing 93306, 93000 and 99214

tdnguyentx

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Hello everyone
Please help. we have rejects with UNITED healthcare for billing 93306, 93000-51 and 99214. They denied the 93306 for "TC- no details to support" and 93000 denied "multiple procedures reduction". all of these CPT are done on the same date, in the same office by the same physician. we own all equipment. They paid only for 99214. Can someone help with the coding please? I have not seen this with any carrier except United.
 
Did you used modifier -25 for the 99214, modifier -59 for the 93306 and 93000? Also try using different DX codes that support the procedures. Good luck!
 
Thank you very much heartyoga! I just want to check with you guys before I resubmit as corrected claim. They are the only one who does this..
 
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