Wiki J100 with BCBS of LA

[2bedaisy]

I am in billing for an urgent care group in Texas. However, many of our patients have Blue Cross and Blue Shield of Louisiana, and their plans invariably deny code J1100, even with -25 modifier appended to the E/M. Our local affiliate regards this as a payable code, and that is about all the information I can get from BC. Has anyone had experience with this, or have any ideas how we might get these paid?

 

[mitchellde]

you need to give more information.. What are all the codes you are billing and how you linking the dx codes to the CPT and HCPCS codes

 

[2bedaisy]

Almost exclusively, they are being billed with a 99214, 96372 and J1100, and the diagnosis is J01.90.

Thanks so much!