tdml97@yahoo.com
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Hi all
2 issues
First, I did bill a claim to MI BCBS (95885-59 x 1, 95885 x 1, 95911)
BC paid 95911 but not the other 2 - denied: we need to know more about this service to tell if we can pay for it and if the member might also need to pay some. Please send us a new claim. Report the primary and add-on procedure codes you performed the same day.
Has anyone else gotten the rejection? What did you do to fix it?
Found out what happened - BCBS does not have the new codes loaded yet.
Second, how would you code this:
Motor Nerves:
L Median - APB
L Ulnar - ADM
R Median - APB
R Ulnar - ADM
Sensory Nerves:
R Median - 3rd Dig
R Ulnar - Dig V
L Median - 3rd Dig
L Ulnar - Dig V
R Radial - IDI
Would this be 9 total or 5 total?
OK, found out answer - this would be a total of 9 - so bill out 95911
Thanks for the help
2 issues
First, I did bill a claim to MI BCBS (95885-59 x 1, 95885 x 1, 95911)
BC paid 95911 but not the other 2 - denied: we need to know more about this service to tell if we can pay for it and if the member might also need to pay some. Please send us a new claim. Report the primary and add-on procedure codes you performed the same day.
Has anyone else gotten the rejection? What did you do to fix it?
Found out what happened - BCBS does not have the new codes loaded yet.
Second, how would you code this:
Motor Nerves:
L Median - APB
L Ulnar - ADM
R Median - APB
R Ulnar - ADM
Sensory Nerves:
R Median - 3rd Dig
R Ulnar - Dig V
L Median - 3rd Dig
L Ulnar - Dig V
R Radial - IDI
Would this be 9 total or 5 total?
OK, found out answer - this would be a total of 9 - so bill out 95911
Thanks for the help
Last edited: