• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Denial for abdominal ultrasound

patdow

Networker
Messages
30
Location
Lago Vista, TX
Best answers
0
Can someone please help us understand this denial meaning from Humana? The invoice is for an abdominal ultrasound and Doppler. ICD 10 code is K74.69 qnd K76.6. CPT is 93975 and 76700 with modifier 59.

Part of the denial letter is attached.
 

Attachments

  • IMG_1021.jpeg
    IMG_1021.jpeg
    1.1 MB · Views: 10
76700 is an inherent part of 93975-Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete study. Why are you billing the additional code of 76700? Do you have a redacted copy of the medical record that shows that 2 separate studies were done?
 
Top