Melissa*Ever*Evolving
Networker
Looking for suggestions on how to fight this claim denial:
Carpal tunnel surgery code 64721 was reported by the surgeon.
we reported correct crossover code 01810 for our anesthesiologist with AA modifier.
UHC denied our anesthesia claim stating NCCI edit to 64721!
We have submitted 2 appeals and talked to the insurance reps twice. Both times being very difficult and saying to resubmit the claim for reprocessing with modifier and unable to help further.
Are there any suggestions on how to approach this? I continue to appeal and they continue to deny for the same reason.
If this was true, wouldn't all anesthesia be NCCI edit to the surgeon's bill!?!
Very frustrated
All suggestions are appreciated!
Thank you!
~Melissa, CPC
Carpal tunnel surgery code 64721 was reported by the surgeon.
we reported correct crossover code 01810 for our anesthesiologist with AA modifier.
UHC denied our anesthesia claim stating NCCI edit to 64721!
We have submitted 2 appeals and talked to the insurance reps twice. Both times being very difficult and saying to resubmit the claim for reprocessing with modifier and unable to help further.
Are there any suggestions on how to approach this? I continue to appeal and they continue to deny for the same reason.
If this was true, wouldn't all anesthesia be NCCI edit to the surgeon's bill!?!
Very frustrated
All suggestions are appreciated!
Thank you!
~Melissa, CPC