Results 1 to 5 of 5

Thread: Help

  1. #1
    Join Date
    Apr 2007
    Location
    Phoenix/Scottsdale
    Posts
    139

    Default Help

    Promo: Code Books
    Hello all,


    Can anyone tell me where it is documented that a Podiatrist cannot bill for a 76942- Ultrasound guidance for needle placement? The dr I do billing for keeps billing this and keeps being denied and he is having none of that. SOoo, I need to have it in black and white to show him, once and for all. It this a carrier determined rule-or across the board??


    Thanks,

    cranky coder

  2. #2
    Join Date
    Apr 2007
    Location
    Wichita, KS
    Posts
    145

    Default

    For which insurance company? If Medicare which MAC region are you in because my podiatrist gets paid for 76942 by insurance.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

  3. #3
    Join Date
    Apr 2007
    Location
    High Point
    Posts
    73

    Default

    Why is it being denied? Incidental? Provider specialty?
    Also, are all carriers denying?

    **************
    PB

  4. #4
    Join Date
    Apr 2007
    Location
    Phoenix/Scottsdale
    Posts
    139

    Default

    We are in Arizona and it is denied as not billable by Podiatrists?

  5. #5
    Join Date
    Apr 2007
    Location
    Wichita, KS
    Posts
    145

    Default

    Take a look at your state's scope of practice for podiatry. If the states scope of practice allows the podiatrists to perform such diagnostic procedures then appeal the denial you might have to go beyond the first level appeal. I am currently putting together a third level appeal for the podiatrists I work for because WPS is denying claims as out of the scope of practice for items that is in the scope of practice according the Board of Healing Arts for the state of Kansas.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.