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Wiki Cpt 31237

joantingler

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Has anyone had trouble getting reimbursed from BC/BS on office procedure 31237?
 
I use this CPT almost daily with modofier 50 (if bilateral) and modifier 79. Never had any problems from BCBS or any psyor. I'm in Virginia.
 
I use this CPT almost daily with modofier 50 (if bilateral) and modifier 79. Never had any problems from BCBS or any payor. I'm in Virginia.
 
I use CPT 31237 almost daily with modifier 50 (if bilateral) and modifier 79. Never had a problem getting paid from BCBS or any other payor. Why are they dening?
 
I'm also having trouble, they are denying for medical necessity. I have to figure out what is going on . An appeal might be in effect

Colleen
 
I use CPT 31237 almost daily with modifier 50 (if bilateral) and modifier 79. Never had a problem getting paid from BCBS or any other payor. Why are they dening?


Medical necessity, but have never had this problem before.
 
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