camilleb
Guru
Lately, Iive received 2 calls from patients whom has spoken with their insurance company regarding their high deductible balance after their nuclear study (78465) was performed. They were instructed to contact the doc's ofc and tell us to recode our test as "routine". This made no sense to me as I do not find a nuclear study to be routine. The patient should have a definitive symptom or Dx in order to have the test ordered. My take on it; is that the patient's health benefits do not cover this type of high dollar test.
Am I wrong? Would someone kindly provide some insight into this matter?
Thanks in advance for your input!