Hello,
I work for an ASC and code for the facility side, I currently have a claim that has been denied over and over again, it is an Anthem claim. I keep getting a B15 denial (and they are asking for a qualifying procedure to be utilized), here is what I have tried:
I originally coded 69436-50, 69424-59-50, & 69706
1st denial: I took off off the second line (69424-59-50) and added a modifier 59 to that third line, so the claim now reads: 69436-50 & 69706-59
2nd denial: I switched code 69706 to be in the first line and 69436-59-50 to be the second line.
Denied again.
I am currently at a loss on what they may want, does anyone have suggestions?
I work for an ASC and code for the facility side, I currently have a claim that has been denied over and over again, it is an Anthem claim. I keep getting a B15 denial (and they are asking for a qualifying procedure to be utilized), here is what I have tried:
I originally coded 69436-50, 69424-59-50, & 69706
1st denial: I took off off the second line (69424-59-50) and added a modifier 59 to that third line, so the claim now reads: 69436-50 & 69706-59
2nd denial: I switched code 69706 to be in the first line and 69436-59-50 to be the second line.
Denied again.
I am currently at a loss on what they may want, does anyone have suggestions?