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Wiki OV denial with X-ray

Robbin109

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Location
San Diego, CA
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I have recently been getting a lot of denials from BC for an OV when billed with an X-ray. Modifier 25 is used and pt is not post-op.

Is anyone else having this issue?
 
I live in MA, we need to separate the x-rays into professional and technical components for BC/BS and for Medicaid. Maybe that is the problem with your BC denials?
Hope this helps :)
 
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