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Wiki Prior authorization

mitcheek1

Contributor
Messages
12
Location
Millington, MI
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I work for an orthopedic office. We prior authorize the surgeries though turning point. We are having a hard time getting the G0289 and 29823 approved. It is mostly for Medicare plus blue. I know the G0289 is for Medicare but believe the medicate plus blue follows Medicare guidelines. We are billing this code with a 29880 and the G0289 is for a different location of the knee... the 29823 is being billed with 29827,29828,29826, however this is different locations of the shoulder. Is there anyone that could tell me either a way to get them approved or if there is somewhere I could find something saying that this should be inclusive to present to the providers? Thank you
 
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