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Help needed for OAE and others

  1. #1
    Question Help needed for OAE and others
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    1. Amerigroup denied OAE(92587) as "experimental". pt are younger than 5 yr, icd v20.2+v72.11, and 389.9 in some pt. How do we appeal?

    2. Wellcare rejects claims for vaccinations with both hepA & hepB (90633+90744), since they share the same icd code V05.3. The claims were rejected by the system as "duplicate Dx codes".

    Any advice and suggestion will be greatly appreciated.


  2. #2
    Virignia Beach
    The denial you are getting from AGP is due to the diagnosis code that is being billed with the 92587. You need to contact AGP and ask for a CPB in regards to evoked potential studies.

  3. #3
    Red face
    Medical Billing
    thanks gagnonangela, for your help! I thought I had replied, but realized only now I haven't.

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