Hello,
We've recently acquired a provider who will be performing OIT on our patients. This is new to us and we're still working on how to properly code and bill for this. We received a denial for OIT from Cigna by billing 95076 x 1 and 95079 x3 with Cigna adjusting off 1 unit as "exceeds maximum allowable".
When I called on this, the rep. told me that only 2 units of 95079 are allowed.
Is this because after 4 hours, we're to bill an E/M? or is there some sort of unit limitation? Or are we just billing incorrectly all together?
Thank you in advance!
Maggie
We've recently acquired a provider who will be performing OIT on our patients. This is new to us and we're still working on how to properly code and bill for this. We received a denial for OIT from Cigna by billing 95076 x 1 and 95079 x3 with Cigna adjusting off 1 unit as "exceeds maximum allowable".
When I called on this, the rep. told me that only 2 units of 95079 are allowed.
Is this because after 4 hours, we're to bill an E/M? or is there some sort of unit limitation? Or are we just billing incorrectly all together?
Thank you in advance!
Maggie