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CPT 99497 denial

B

brookeapetz1323@gmail.com

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1
Location
Lakeland, FL
Hi guys,

I have a provider who loves to bill CPT 99497, but it keeps getting denied by insurance as being "unbundled" with the E/M codes theyre billed with. These are for Careplus and Humana Medicare Advantage. Does anyone know why they would be denied and how to fix it? The documentation supports the code and I cant find a reason for it to be denied.
 
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