NPSDEB
Networker
I submitted a claim to MN Medical Assistance for tendon repair. He repaired multiple tendons in the forearm and hand. I submitted 26356 with 3 units (MUE is 4) and 25260 with 3 units (MUE is 9). MN MA only paid for one unit for each. When I called them they said they only allow one unit for each. Period. I said no way the description says each tendon. Nope we only allow one unit. I asked if I can resubmit on multiple lines and she said won't make a difference. So do I call and try to get a different representative who might be a little more helpful or has anyone else experienced this. The physician is going to want proof of some sort why they will only pay for one unit. Any insight is greatly appreciated.
Deb
Deb