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76819 Denied

  1. Default 76819 Denied
    Medical Coding Books
    Hello everyone,
    I need help w/ correctly billing this one:
    Dr. does BPP ONLY (no NST) in office for a member. We bill 76819 (because 76818 is w/ NST) and used DX code v23.9-high risk ob. Ins. comp. denies the claim =not payble w/ this dx code. does any one have a diff dx code to be used w/ BPP????


  2. #2
    You need to be more specific as to why the BPP was done. Check the provider's documentation and then perhaps you can look to a chapter 11 dx code.

  3. Default
    I was under impression that BPP is done on ALL OBs at 35+wks

  4. Default
    A BPP is only done if there is something known or suspected, example: antepartum hypertension, antepartum hemorrhage, decreased fetal movement etc......not usually as routine.

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