Wiki J100 with BCBS of LA

2bedaisy

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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?
 
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
 
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