MFiggy
Contributor
If someone can help me I have uploaded the redacted Operative report for this patient that has UHC Dual Complete plan (Medicare/Medicaid). The provider billed 61782, 15740 the patient was listed as an Inpatient at the time of the surgery UHC denied this claim stating 61782 CO97 included in another service, N122 Add on code can not be billed, 15740 M127 missing medical record, CO252 missing attachment/documentation (this denial was obtained on the recoupment of original payment by UHC). I sent this same operative report and the medical reviewer states that 15740 is not the appropriate code. Can anyone tell me what you would've billed based on this operative report?
Last edited: