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Wiki Implant HCPCS codes

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hbarney1

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Allen, TX
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I keep receiving denials on HCPCS codes (C1725 and C1760) rev code 278. These items so not meet BCBS TX Implant reimbursement policy that states the item must remain in the body and cannot absorb. I have gotten a couple of these and not sure how to resolve this. Has anyone gotten a similar denial on this? If so how were you able to resolve this?
 
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