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Office visit/ultrasound denial

T

teri larisey

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2
I am receiving denials on my E/M 99214 when billing it with Ultrasound code 76830 from some insurance companies. Others, however, are still paying both codes. I have tried to bill the E/M with modifier 25 as well, but still it is denied. Any suggestions on how to get the E/M service paid? I've checked the CPT book and it does not say that the E/M is included in the U/S code.
 
I have similar issue billing 99214 + 76380 with 25 or TC modifiers only Cigna for OB claim. They are saying "Payment is denied when performed/billed by this type of provider in this type of facility" . Wondering any one else facing similar situation with Cigna, if yes, and how are you handling it? Can 76380 can be billed alone on the different DOS? I appreciate any help in this matter.
 
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