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Wiki Cpt 20610 - Is anyone having issues

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adminservices

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Is anyone having issues with getting paid for 20610 from United, Humana or Aetna??

Looks like they only have knee Dx codes listed on their policy, but not taking into consideration of the other major joints.
 
I haven't noticed a trend...yet. Not surprised it would start with one of the payers you list. Each of these payers have online reconsideration options that will usually return a quick response/decision. I would send reconsiderations to the payers & somehow track the ones you send so you can follow up on their decision.
Sorry that probably isn't really answering your question :-) Thank you for the heads up!
 
Difficulty with UHC for knee injections

adminservices said:
Is anyone having issues with getting paid for 20610 from United, Humana or Aetna??

Looks like they only have knee Dx codes listed on their policy, but not taking into consideration of the other major joints.
Click to expand...

Yes, we are beginning to have problems with the hip injections and trying to research further into their policies to understand before conferring with Dr to formulate an appeal. Am trying to find a retired policy for the hyaluronate injections for 2015 for 2015T0078T. This drug may be required to be purchased at their specialty pharmacies. Not sure, yet as just starting the research...
 
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