What codes are you billing out and what is/are the denial reason(s)?
I have two cases, both I have a diagnosis code of M17.11. I have tried the following :
E1399 + 99213--- duplicate of paid procedure--- which makes no sense as they have not paid the synvisc fee just the visit fee.
1) J7325 + 99024--- Hcpcs level ii codes are not reimbursable services per the ny medical fee schedule. Materials supplies by physicians should be billed with code 99070 and repriced per invoice.
2) 20610 + 99070 --- I have not heard back on these codes yet.
Sorry, I am fairly new to coding and the person I took over for was unable to get payment on injections so I would like to be able to rectify the situation. I appreciate your help!