Flu shots

Messages
6
Best answers
0
I am having Humana Medicare and Wellcare Medicare denying flu shots based on lcd/ncd. I am using 99213 -25 with appropriate dx code 90682 and G0008 with z23 as dx code. Humana denial reason 04@/96, I have called and called and all they say is denying for lcd/ncd. I can not figure this out. Any experience with this anyone?
 

SharonCollachi

True Blue
Messages
1,759
Location
Clovis, CA
Best answers
3
Was the DOS before 8/1/2020?

Denial code 96 is "non-covered charges" (I don't know what 04@/96 means).

What are the full denial codes and the wording of the codes?
 
Messages
2
Location
MADISON, AL
Best answers
0
I am having this exact same issue and have contacted Medicare and Humana and no one can seem to help me. I have been working on this for months and have resolved absolutely nothing. Have you found out anything as to why this is happening yet?
 
Top