jdibble
True Blue
I did post this on another thread but decided to also post this here as there is an urgency in getting this issue answered as soon as possilbe! So please forgive me if you have seen this question before... If someone could help me understand this Anesthesia coding I would be greatful! WE have just starting sending out our first round of Anesthisia claims so we are not too sure of what we are doing. I had a patient who had an epidural for a vaginal delivery. We billed Aetna and they are denying the claim (per the Aetna website) stating the following:
F2 Finalized/Denial-The claim/line has been denied.
Claim Status Claim Status Description
121 Service line number greater than maximum allowable for payer
The patient was given an epidural - start time was 11:15 and stop time was 13:45. We billed code 01967-P1-AA 15 units (5 base units plus 10 units for time.) The claim did include the times.
Can someone please help? We have sent out so many claims in the last few weeks and now I am worried that they are all wrong and this is only the beginning of the denials!!
Thanks in advance for help!
__________________
F2 Finalized/Denial-The claim/line has been denied.
Claim Status Claim Status Description
121 Service line number greater than maximum allowable for payer
The patient was given an epidural - start time was 11:15 and stop time was 13:45. We billed code 01967-P1-AA 15 units (5 base units plus 10 units for time.) The claim did include the times.
Can someone please help? We have sent out so many claims in the last few weeks and now I am worried that they are all wrong and this is only the beginning of the denials!!
Thanks in advance for help!
__________________