Jessicat125
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Hello,
I have an account for workers comp I billed procedure 99243 was for a surgical clearance consultation visit. I received an EOB denial recently stating the procedure 99243 is denying stating an initial visit was billed on a subsequent date of service. Resubmit with an appropriate code. Now the patient was last seen at our office within the 3 years so per the insurance rep this is the reason the charge is denying so a new code needs to be billed. Now my question is do I just rebill with the correct E/M code and resubmit a corrected claim or should I submit an appeal with the 99243 because that is the correct way the claim should be billed with the surgical clearance diagnosis.
-Thank you
I have an account for workers comp I billed procedure 99243 was for a surgical clearance consultation visit. I received an EOB denial recently stating the procedure 99243 is denying stating an initial visit was billed on a subsequent date of service. Resubmit with an appropriate code. Now the patient was last seen at our office within the 3 years so per the insurance rep this is the reason the charge is denying so a new code needs to be billed. Now my question is do I just rebill with the correct E/M code and resubmit a corrected claim or should I submit an appeal with the 99243 because that is the correct way the claim should be billed with the surgical clearance diagnosis.
-Thank you