Good Morning all,

My physicians read nuclear stress studies for the local hospital while they are on call. In the past few weeks I have received denials from Cigna, UHC, and Humana stating that CPT 78452 code requires authorization. I called the hospital and they told me these patients are in observation status and they are unable to get authorizations for any other services. I have appeal but have been denied on every case. Has anyone else had this occur or any solutions I can try to get reimbursement for my physicians?