I work in an OBGYN office and have been billing the new CPT 99459 (chaperone code). We have billed it with prevent visits, as well as problem visits, with mixed results from insurance companies.
Anthem has rejected for invalid dx code with the prevent code. The dx used was Z01.419. From what I understand of this new code, this is the prime example of what the code is to be used for.
UHC has rejected the use of the code with prevent visits. And they have paid the code with a problem visit.
Does anyone have information on payable diagnosis codes with these insurances? Are you billing with any modifiers? This is an add on code, so we have not, as of yet.
Thanks in advance for any advice
Kelly
Anthem has rejected for invalid dx code with the prevent code. The dx used was Z01.419. From what I understand of this new code, this is the prime example of what the code is to be used for.
UHC has rejected the use of the code with prevent visits. And they have paid the code with a problem visit.
Does anyone have information on payable diagnosis codes with these insurances? Are you billing with any modifiers? This is an add on code, so we have not, as of yet.
Thanks in advance for any advice
Kelly
diagnosis codes, diagnosis coding