Hello....we have come up with quite a dilemna with one of our insurance carriers.
We billed CPT code V5261 which is recognized by every payor for Hearing Aids; however, when we billed SmartHealth they denied the code stating that we needed to bill with a valid SmartHealth Code. When we called SmartHealth we were told by the insurance company to bill CPT HA001.
My concern is that I always thought that we had to bill per AMA or CMS guidelines. Is this appropriate coding??????
Thanks in advance for your help.![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
We billed CPT code V5261 which is recognized by every payor for Hearing Aids; however, when we billed SmartHealth they denied the code stating that we needed to bill with a valid SmartHealth Code. When we called SmartHealth we were told by the insurance company to bill CPT HA001.
My concern is that I always thought that we had to bill per AMA or CMS guidelines. Is this appropriate coding??????
Thanks in advance for your help.