CO-170 denials (Medicare)

kaldridge

Contributor
Messages
18
Location
Albany, GA
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Anyone else having issues with claims denying with CO-170? We have several NPPs that have always ordered labs and mammograms and are now having their claims (randomly) deny with CO-170 and I can't find anything anywhere stating they aren't able to order these tests. We have called (numerous times) and of course they don't seem to really know what is going on either-they even told us at one point it was a system error and they were working on getting it fixed. So frustrating. Thanks, Kimberly
 

haraml7

Networker
Messages
25
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Is this a facility or Drs. office? Also, what are the codes used on the claim form. Labs and mammograms codes? Do you have a referring physician on the claim?
 

kaldridge

Contributor
Messages
18
Location
Albany, GA
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We are a Dr.'s office. Several CPT codes but two of the most common being denied are 87800 and 77067. Yes we have a referring physician on the claim.
 
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