STD billing

dragonflye

Networker
Messages
80
Location
Phoenix, Arizona
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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.
 

pedscoder

Contributor
Messages
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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