Wiki cpt code 90384 denied

Create Wiki
B

bernielozada

Contributor
Messages
15
Location
Chicago, IL
Best answers
0
Recently receiving denials for cpt code 90384 stating it's an add-on code! But we are billing 90384 with 96372. Bcbs is the insurance.
 
CPT 90384 denied by BCBS of OK as an add-on code

BCBS of OK is denying CPT 90384 as an add-on code. Customer service could not explain why this code is being denied, when it is not an add-on code. They suggested that I send a reconsideration request. I am also curious if anyone has an explanation for this denial. The remark code they are using is CO234 and N122.

I went into Availity, under "More", and Research Procedure Code Edits, and entered 90384 and 96372, and 90384 was disallowed . I then used J2790 Rho (D) and 96372 for the admin and both lines were allowed.
 
Last edited:
Sounds like BCBS is following CMS coding guidelines. 90384 is a RBRVS Status I (Not valid for Medicare Purposes: Medicare uses another code for reporting of, and payment for, these services) They want the normal IM admin code which as you see made it pay.
 
You must log in or register to reply here.
Top