Wiki denial for cpt 99213

[Toolfav@gmail.com]

I have a denial for cpt 99213 with mod 25 and cpt 98929 for Aetna . Has anyone had common denials for these procdures ? Looks like the Cpt 98929 was paid but not the 99213 . Any help would be appreciated.

 

[clark.amy86]

Yes, you must appeal every denial to get them to reconsider. They want to see the proof via the office visit note that the 25 modifier is justified and payable.