STD billing

dragonflye

Networker
Local Chapter Officer
Messages
80
Location
Devon, PA
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Good day. How can we get paid by bcbs for a pt that came in to get std tested? We have gotten some denials on the codes v65.55, v69.8, and v71.89. Any suggestions or help is greatly needed. The denials keep saying its a routine test.
 

dragonflye

Networker
Local Chapter Officer
Messages
80
Location
Devon, PA
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0
that seems good but we did not do the screening, we sent the pt to the lab. Can we still use?
 

pedscoder

Contributor
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10
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0
If it is documented that the patient is sexually active, we use V69.2, high-risk sexual behavior.
 

kathymoon

Guest
Messages
84
Location
Lansing, Michigan
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Some BCBS will not pay for the V-codes because they are screening or not medically necessary. So the question is, why are they denying it? If it is coded accurately and BCBS is not payin because it's not a benefit for that diagnosis, it may very well be the patient's responsibility.
 
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