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.
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.