Is anyone else having issues with United Healthcare (Community Plan and United Healthcare Shared Services) denying E&M codes inclusive to knee xrays (specifically 73560)? We are an orthopaedic group that frequently performs knee xrays on patients. I have contacted both insurance carriers mentioned and have been told that the E&M is denied due to global. When questioned about the "global" code, I have been told 73560 is a global code. I have asked if this is perhaps a computer error as I have not found any reference on the website or in their newsletters that this is something new, as well as Novitas doesn't list 73560 as a "global" service. All the reps can do is just send the claim back to the claims department requesting a more detailed denial and they will call me back in 15 business days.
If you have found a way around their crazy processing system, other than modifying -25 on the E&Ms (which is unnecessary), can you please let me know? This is a large issue as I said since we have quite a few patients that this is affecting.
If you have found a way around their crazy processing system, other than modifying -25 on the E&Ms (which is unnecessary), can you please let me know? This is a large issue as I said since we have quite a few patients that this is affecting.