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help with claim denial

june616

Networker
Messages
62
Best answers
0
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
Messages
304
Best answers
0
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
 

drakena74

Guru
Local Chapter Officer
Messages
180
Location
Fullerton, CA
Best answers
0
If you look in the HCPCS Level II book for S8110, it's highlighted in red and states it's noncovered by Medicare.
 
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