Question PLEASE HELP!! UREA BREATH TEST - 78267 & 78268


Port Orange, FL
Best answers
Our office keeps getting these claims denied. They are being denied for not supported, medical records do not support the Urea breath test. I just took over billing in this office and I am trying to get down to the bottom of this. Does anyone have any advice on why the insurance companies will not pay for this test? What I need to appeal these claims and get them paid. ANY help is much appreciated. It is being denied from multiple insurance companies.
Hi what is the Primary DX you are using ? Some plans in some states do not consider B96.81 by itself or as Primary, a valid DX for CPT 78267, 78268. You can try using A04.8 or R10.13 or K21.9 along with it.