help with claim denial

june616

Networker
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Claim was billed as 99214-25, S8110, 94642 to Humana Medicare for dx 490 (Bronchitis NOS).

The office visit was paid but S8110 denied as "not a recognized code." Should I rebill with 94010?

94642 was denied due a coding error. This code is the nebulizer treatment for pneumonia. The ARNP's note states that the nebulizer was done for "indication: pnuemonia" but as I said earlier, the final dx was 490. Is there another code I should for the nebulizer treatment for bronchitis? If not, what is the best course of action to take in this situation?

Thank you for your help. I am new to coding and my coding helper at work is out for the week =)
 

suemt

Expert
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What is the description of the service you are associating with S8110?

For the nebulizer treatment, try 94640.

Let us know how you make out!

Sue
 
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