Dipstyck
New
Hi Coders!
I have a question about a denial I keep getting from Emblemhealth regarding our billing of 88305x5, 88313x3 and 88342x2 when we are performing a EGD or Colonoscopy. Their rational for the denial for the 88313 is PROCEDURE/TREATMENT DRUG is a non-covered benefit when deemed unproven/experimental/ Appeal may be submitted with records.
This is done in an office setting and we are billing the global as we have a lab within our office. I tried to contact them for clarification, but no one has a clue
. Anyone else receiving this denial and maybe have an information on why this is recently happening to our claims? Thanks so much!
I have a question about a denial I keep getting from Emblemhealth regarding our billing of 88305x5, 88313x3 and 88342x2 when we are performing a EGD or Colonoscopy. Their rational for the denial for the 88313 is PROCEDURE/TREATMENT DRUG is a non-covered benefit when deemed unproven/experimental/ Appeal may be submitted with records.
This is done in an office setting and we are billing the global as we have a lab within our office. I tried to contact them for clarification, but no one has a clue
. Anyone else receiving this denial and maybe have an information on why this is recently happening to our claims? Thanks so much!