smitkaty
New
Newish to coding. Hopign someone can help arm me with some confidence to push back on the health plan...
Child presented to cardiology for some testing based on father's history of massive heart attack at an extremely young age. Results were normal so we billed an office visit E/M and Diagnosis V717 ?Observation for suspected cardiovascular disease?, V812 ?Screening for other and unspecified cardiovascular conditions? and V1749 ?Family history of other cardiovascular diseases?
Payor is denying stating that we MUST use a well visit CPT when billing any V code. I know this isn't correct, we didn't do a well visit. I'm having trouble finding documentation to back me up on this argument.
Any assistance is greatly apprecaited!
Child presented to cardiology for some testing based on father's history of massive heart attack at an extremely young age. Results were normal so we billed an office visit E/M and Diagnosis V717 ?Observation for suspected cardiovascular disease?, V812 ?Screening for other and unspecified cardiovascular conditions? and V1749 ?Family history of other cardiovascular diseases?
Payor is denying stating that we MUST use a well visit CPT when billing any V code. I know this isn't correct, we didn't do a well visit. I'm having trouble finding documentation to back me up on this argument.
Any assistance is greatly apprecaited!
